REQUEST A QUOTERequest a QuotePlease fill out the form below. If your prefer, contact us right now.Please fill out the form below.Or, contact us now. (816) 646-8551 (816) 646-8551 office@midwest-data.com office@midwest-data.com Please enable JavaScript in your browser to complete this form.Company InformationContact Name: *Email: *Phone: *Preferred Method of Contact:Preferred Method of Contact:EmailPhoneEitherCompany Name: *City: *State / Region: *Please Select State:AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana IslandsAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Equipment InformationWhat Make/Model Machine are you looking to upgrade? *Do you currently own or lease it? *Do you currently own or lease it? *OwnLeaseN/AIf leased, what is the approximate date of your lease expiration?If leased, what is the approximate date of your lease expiration? (please select)0 - 6 months6 - 12 months12 - 24 months24 - 36 months36 - 48 months48 - 60 monthsI don․t knowWhat type of equipment are you interested in? *What type of equipment are you interested in? * (please select)Multifunction Machine (Copy/Print/Scan/Fax/Email/Apps)Black and White Laser PrinterColor Laser PrinterBlack and White CopierColor Copier“Specialized” Equipment”OtherAre you in need of more than 1 machine? What Speed of machine are you looking for? *What Speed of machine are you looking for? * (please select)15 to 20 prints/copies per minute21 to 30 prints/copies per minute31 to 45 prints/copies per minute46 to 70 prints/copies per minute71 + prints/copies per minuteWhat is your projected monthly volume? * What is your projected monthly volume? * (please select)Less than 5,000 prints/copies per month05,000 - 15,000 prints/copies per month15,000 - 25,000 prints/copies per month25,000 - 40,000 prints/copies per month40,000 - 60,000 prints/copies per month60,000 - 99,000 prints/copies per monthOver 100,000 prints/copies per monthReally Not Sure - I need an assessment!What paper sizes do you require? *What paper sizes do you require? * (please select)Letter (8.5x11) & Legal (8.5x14)Letter, legal & TABLOID (11x17) or Larger12x18 or LargerDo you use heavy weight or specialty paper? Do you use heavy weight or specialty paper?YesNo What function do you consider most important? *What function is most important?Multifunction AbilityColorPrintingScanningEmailingAppsFaxingDocument Storage & RetrievalWe will just be making copiesNot sure - I need an assessment!Maintenance Agreement? *Would you like info on a Service Agreement? *YesNoWhen would you require delivery? *When would you require delivery? *ASAPIn Two WeeksIn One Month1 to 3 Months3 to 6 MonthsOtherWhat purchase option do you require? * *What purchase option is required?24 month lease36 month lease48 month lease60 month leaseCredit CardOutright PurchaseOn AccountComments:Required Security Question: *What is 30+6? EmailCLICK TO SUBMIT FORM