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:
What type of issue? (required) —Please choose an option—PrintingITAccount / BillingOther
Your Name (required)
Phone Number (required)
Your Email (required)
Subject
Your Message
Equipment ID:
OR
Model Number:
Serial Number:
Black Toner Requested: —Please choose an option—01
Cyan Toner Requested: —Please choose an option—01
Magenta Toner Requested: —Please choose an option—01
Yellow Toner Requested: —Please choose an option—01
Collection Bottle Requested: —Please choose an option—01
Staples Requested: —Please choose an option—01
Additional Information:
Company Name (required)
Contact Phone
Equipment ID
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
B/W Copies:
B/W Faxes Received:
Color Copies:
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
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