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CopierSupplyStore.com appreciates your business! We would like to know a little bit about you and your company. Enter for a Chance to Win a FREE iPOD! All you need to do is fill-out this short survey about your company and you will automatically be entered into our iPOD Sweepstake! The winner will be decided by drawing a random email address on July 1, 2008 at 10am EST. The winner will contacted via email or phone and will have 48 hours to claim the prize. One entry per person. * Required Full Name: * Required Email Address: * Required Phone: Company: Job Title: How many employees work in your company? select 1 - 20 More than 20 How many copiers do you have? select 1 - 5 5 - 10 10 - 20 More than 20 How many printers do you have? select 1 - 5 5 - 10 10 - 20 More than 20 Please select the office machine(s) manufacturer(s) your office uses. 'Control Click' to select more than one manufacture. select manufacturer(s) ATRIX BROTHER CANON COPYSTAR DELL GEI GESTETNER HP IMAGISTICS K&E KONICA MINOLTA KYOCERA MITA LANIER LEXMARK MURATEC NASHUATEC NEC OCE OKIDATA PANASONIC RICOH RISO SAMSUNG SAVIN SHARP TOSHIBA XEROX Do you have a company that services your machines? Yes   No How often do you replace the toner in your copier? select Once a month Every other month Every 6 months Once a year Comments:

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12/1/2008 5:11:34 PM