This form is designed to assist Printers Plus Inc. in helping you have your printers serviced properly. Upon receipt of the form, a Printers Plus representative will contact you.

Mandatory fields are marked with an asterix:*

Contact Information

 

Email address* :

 

Full Name* :

 

Telephone Number*:

 

Company Name:

 

Company Address (Street):

 

Company City:

 

Company State/Province*:

 

Zip Code:

 

Fax:

Service Details

 

Please provide details regarding your printers' manufacturer, the model number, the quantity of printers you need serviced and the details of any printer problems you are experiencing:


 

How would you like us to contact you* (select at least one)?

Email

Phone

Fax