Contact Form

How can Miller help today?

Are you a Client? (required)
—Please choose an option—YesNo

Your Name: (required)

Company Name: (required)

Contact Phone:

Your Email: (required)

Subject:

How did you hear about us? (required)
—Please choose an option—My Miller Sales Rep told usWeb SearchAnother Miller clientAdvertisementFacebookOther

Your Message:

Support Request

Are you a Client? (required)
—Please choose an option—YesNo

What type of issue? (required)
—Please choose an option—PrintingITAccount / BillingOther

Company Name: (required)

Your Name (required)

Phone Number (required)

Your Email (required)

Subject

Your Message

VIP Supply Request

Your Name (required)

Company Name: (required)

Contact Phone:

Your Email: (required)

Equipment ID:

Model Number:

Serial Number:

Collection Bottle Requested:
—Please choose an option—01

Staples Requested:
—Please choose an option—01

Additional Information:

Service Request

Your Name (required)

Company Name (required)

Contact Phone

Your Email (required)

Equipment ID

Model Number:

Serial Number:

P.O. Number

Condition of Equipment
—Please choose an option—My Machine is WorkingMy Machine is NOT WorkingPreventative Maintenance is Required

Description of Problem
—Please choose an option—Copy Qualit-Spots, Lines, Void AreasBlack CopiesBlank CopiesCall Service LightDouble FeedDead Machine, No PowerNetwork TroublePaper JamDuplex FailureDocument Feed Jam Original DocumentHalf CopiesMachine Locked upAbnormal NoiseCrooked Copies / SkewedSorter JammingWaist Toner FullToner ProblemWon't StapleFax Won't Receive

Meter Read

Your Name: (required)

Company Name: (required)

Contact Phone:

Your Email: (required)

Equipment ID:

Serial Number:

B/W Copies:

B/W Faxes Received:

Color Copies:

Network Survey

Your Name: (required)

Company Name: (required)

Contact Phone:

Your Email: (required)

Equipment ID:

Is this printer replacing a current network printer?:
—Please choose an option—YesNo

What type of network is in use?:
—Please choose an option—Peer to Peer (P2P)Server based

The Device will be connected as?:
—Please choose an option—Node on the NetworkLocal connection-parallelLocal Connection-usb

Drivers will be loaded on?:
—Please choose an option—The ServerAt Each Workstation

Is there an internal mail server?:
—Please choose an option—YesNoYes - Exchange

Is there a firewall or proxy server?:
—Please choose an option—YesNo

Is there an active network port where the printer/scanner will be located?:
—Please choose an option—YesNo

What operating system is in use?:
—Please choose an option—WindowsUnixNovelLinuxApple

Your network protocol is?:
—Please choose an option—TCP / IPIPX / SPXAppleTalk

Your print language is?:
—Please choose an option—PCL5EPCL6EPostscript

Is your network wireless?:
—Please choose an option—YesNo

Free On-site Survey

Interested in Miller services?

Are you a Client? (required)
—Please choose an option—YesNo

Your Name: (required)

Company Name: (required)

Contact Phone:

Your Email: (required)

How did you hear about us? (required)
—Please choose an option—My Miller Sales Rep told usWeb SearchAnother Miller clientAdvertisementFacebookOther