Machine order

Sales Rep

Sales Rep Email

Used for confirmation email

Company Name

Exact company name

Install Address

Street Address

Street Address Line 2

CityState

Zip Code

Is the Billing Address the same as the Install Address?

Billing Address

Street Address

Street Address Line 2

CityState

Zip Code

Contract Contact Name

First NameLast Name

Contract Contact Phone Number

Format: (000) 000-0000.

Contract Contact Email

example@example.com

Is the Equipment Contact the same as the Contract Contact?

Equipment Contact Name

First NameLast Name

Equipment Contact Phone Number

Format: (000) 000-0000.

Equipment Contact Email

example@example.com

Type of agreement

Vaulequix order numbers for tracking in DOS prompt

Machine Model being installed

Any special info like apps defaults etc.

What does the customer want

Base install Hours

Do we need to do training?

Is there a trade?

If yes, what is the model and serial number?

If yes, where is the trade going?

Delivery type

Stairs or Elevators

How many Stairs

Loading Dock

SME Yes/No

If yes, what is the SME number for the machine

If yes, what is the SME number for the CPI

Is machine new or used

If used, what is the SN#

If used, what is the black meter

If used, what is the color meter

Source of machine

Does DCA/XDA need to be installed

Is the customer already a XPPS customer?

How is it being billed

Who is billing for the equipment

Other Billing Information

Base charge for XPPS

Cost per page B&W

Cost per page color

Cost per page escalation after year 1

Notes

*** Please include exact pricing breakdown that matches leasing paperwork so sales can be properly funded *****Please include any additional notes that are important for office staff to know

Type a question

New Order

Billing Info