Company Name
First Name        Last
Title
Company Address
Company Address 2
City       State            Zip
Phone
E-mail
# of laser printers and copiers (excluding ink-Jet printers)

I meet and understand the following terms and conditions:

I am the decision maker regarding the purchase of printers and MFPs for my company.

My company has 15 or more laser printers or copiers.

My company is located within Printelligent's service area: Orange County, CA;  Atlanta, GA; 
     Chicago, IL; and Cache, Davis, Salt Lake, Tooele, Utah, or Weber Counties, UT.     

No purchase necessary.

While supplies last, iPod Nano will be given to participant upon print assessment  completion.

Limit of one Incentive per company per 12 months. Promotion offered exclusively by Printelligent.