Order Supplies
Brian Parisi Copier Systems Inc.
(716) 568-8800
www.parisicopiers.com
Please fill out the form below to submit your supply order.
Company Name
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Your Email Address:
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Contact Name:
*
First
Last
Phone
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Contract # (MC_ _ _ _ ):
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Serial # or Model:
Black Reading:
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Color Reading:
Total Reading:
Toner(s) Select Color(s) Ordering
*
Black
Cyan
Magenta
Yellow
Please select each type by selecting the checkbox
SELECT ORDER TYPE AND SPEED:
Regular Stock Order, 3-4 Days
Rush Order, Next Day $5 Add'l Charge
Emergency Same Day - $ 25 Min Add'l Charge
Additional Information:
Re-order Numbers
Special Requests