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ONLINE METER  REPORTING

Please complete the following  information pertaining to the Meter Reading on your copy  machine.
If this information is not returned we will use an estimated number.
Thank You.

Company Name:

Machine Model:

B & W Meter Reading:

Phone Number:

Fax Number:

E-mail Address:

Electronic Signature:

ID Number:

Color Meter Reading:

Extension:

Please be advised  that an Electronic Signature is equivalent to a hand written  statement. When you are sure that the above Meter Reading  is Correct, please press "Submit Request" Below.
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Last Modified 11/11/08

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