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Copier Fleet: Toner and Paper Order Form
Your Name
*
Phone Number
*
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Email Address
*
Department
*
SSU ID# (Located on Front of Copier)
*
Deliver To
*
PAPER
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8.5" x 11" 20#
Quantity
Type
30% Recycled Ream(s)
30% Recycled Case(s)
8.5" x 14" 20#
Quantity
Type
30% Recycled Ream(s)
30% Recycled Case(s)
11" x 17" 20#
Quantity
Type
30% Recycled Ream(s)
30% Recycled Case(s)
TONER
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Magenta
0
1
2
Black
0
1
2
Yellow
0
1
2
Cyan
0
1
2
OTHER
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Staples
No
Yes
Waste Toner Bottle
No
Yes
NOTES
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Additional notes or comments
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