Order Supplies
Request Service
Home
About Us
Careers with XBS
Customer Center
Request a Quote
Contact Us / Form Center
View Our Product Catalog
3D Printing
Featured Products & Services
IT Services
Security
Contact Us / Form Center
Contact Information and Form
Sign Up For Our Newsletter
Cost Savings Calculator
Request an Appointment
Event Registration
Open House Registration
MFP Installation Form
Submit Your Resume
Company Survey
Service Survey
Order Supplies
Request Service
Enter a Meter Read
Customer Center
Request a Quote
Thank you for assisting us with our MFP installation form.
This information will ensure a smooth installation of your new equipment.
If you have further questions, please call our office or send us a note.
contact form
.
MFP Installation
Sales Rep:
Branch:
Sales Rep Email:
Customer Information
Customer Name:
Contact Name:
Contact Phone:
Alt. Phone:
Fax:
Email Address:
Address:
City:
State/Region:
--
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
ME
MD
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VI
VT
VA
WA
WI
WV
WY
---
AB
BC
MB
NB
NL
NS
NU
ON
PE
QC
SK
YT
Zip/Postal Code:
Network Information
Open Network Drop?
Yes:
No:
Do they have on-site IT?
Yes:
No:
Do they have a server?
Yes:
No:
Number of Workstations to Setup:
Does FM Audit need to be installed?
Yes:
No:
MFP Information
Make/Model:
Delivery Date:
# of MFP's:
# of Controllers:
Scan to Folder?
Yes:
No:
Scan to Email?
Yes:
No:
Any Additional Notes:
Verification Image:
Enter Verification Image:
(only 6 lower-case letters)