Hardware/Software Quote Request Form
NOTE: Please answer all questions in each area of interest, where applicable. Changes will only be accepted for
up to 7 days after submitting this form, a quote will then be generated.
Date:
Name:
Department:
Printer Request
Color? Yes
Type of printer Laserjet
Quantity
Primary Use Individual
Primary Function Print Only
Largest printed format 8.5x11
If Laserjet, need Duplexing (printing on both sides)? ☐Yes
No. of pull-out Trays needed
Need Stand? (for large multipurpose printers) ☐Yes
Connection Type: Local (USB)
Note: If new location and you want Network compatible, check to make sure there is an available Network
drop and/or electric close by. Network drop cannot be more than 14ft from computer location
Do you need IT to examine the location? No
What is Printer for? Replacement
Location for delivery/installation (list all, if more than one)
Are there any restrictions for location of printer?
If yes, please enter the restricting Height, Width,
and/or Depth of location for printer
Need cost of toner/cartridges at this time? No
Is request for? Department Purchase
When is it needed?
Click to Submit and Send via Email