Order Number

  <%=Request.ServerVariables("REMOTE_ADDR")%>

Contact Name

 

Company

 

PO Number

 

Phone Number

 

E-Mail Address

 

Shipping Address

 

Shipping Method  
   
 

Xerox Phaser 8200

 

Cyan 5 Pack   S/N 016-2045-00   $242.00                            Quantity

 

Magenta 5 Pack   S/N016-2046-00   $242.00                        Quantity

 

Yellow 5 pack   S/N 016-2047-00   $242.00                           Quantity

 

Black 10 Pack   S/N 016-2044-00   $255.00                          Quantity

 

Ext. Maintenance Kit   S/N 016-1932-00   $282.00                 Quantity

   
 

Xerox Phaser 8400

 

Cyan 3 Pack   S/N 108R00605   $134.00                               Quantity

 

Magenta 3 Pack S/N 108R00606   $134.00                            Quantity

 

Yellow 3 Pack S/N 108R00607   $134.00                               Quantity

 

Black 6 Pack   S/N 108R00608   $134.00                              Quantity

 

Ext. Maintenance Kit   S/N 108R00603   $200.00                   Quantity

   
 

Xerox Phaser 8500

 

Cyan 3 Pack   S/N 108R00669   $120.00                               Quantity

 

Magenta 3 Pack   S/N 108R00670   $120.00                          Quantity

 

Yellow 3 Pack   S/N 108R00671   $120.00                             Quantity

 

Black 6 Pack   S/N 108R00672  $120.00                               Quantity

 

Ext. Maintenance Kit   S/N 108R00676   $202.00                   Quantity

  Std. Maintenance Kit   S/N 108R00675   $134.00                   Quantity
   

Type "Verify" in this field

Comments