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    Copier Make*

    Copier Model*

    Colour Meter Reading*

    Black Meter Reading*

    Postcode*

    Is the copier located on the ground floor?*

    If no, is there a usable lift?*

    Additional copier information*

    Name:*

    Telephone number:*

    Email address:*

    Do you have any genuine new boxed toners?*

    If yes, detail below