

|
| |
I would like to order products via Corporate Express' Internet ordering system.
I am a current Corporate Express customer:
yes
no
|
| |
If yes, please fill out the following 2 fields: |
| Customer Acct. # |
|
| Name of Sales Rep |
|
| |
Contact Information. (* Required fields) |
*First Name |
|
*Last Name |
|
Title |
|
*Company |
|
*Mailing
Address |
|
*City |
|
*State |
|
*Postal Code |
|
*Country |
|
*Region |
|
*Telephone |
(include area or city code) |
Fax |
(include area or city code) |
Country Code |
(outside U.S.) |
*Email |
|
|
Information Request |
|
*I would like more information on the following products & services (check all that
apply):
|
Office Products |
|
Our general office products offering, including everything from pens to file folders to furniture. |
|
|
Electronic Ordering |
|
Order office supplies through our online ordering site, E-Way. |
|
|
Computer Software |
|
Purchase, track and manage IT assets through our software licensing services experts. |
|
|
Document & Print Management |
|
Business printing, document management programs, custom-printed labels and direct mail products and services. |
|
|
Imaging & Computer Graphic Supplies |
|
Data center & network magnetic & optical media, high capacity laser, fax, MICR & copier toners, or medical, bar coding & specialty imaging supplies. |
|
|
Branded Merchandise & Apparel |
|
Custom merchandise programs that consolidate, monitor, and control the purchase of products and apparel bearing clients’ approved logos. |
|
|
|
Company Information |
| |
*Number of employees at my location:
|
*Number of employees company-wide:
|
*Number of PCs at my location:
|
*Number of PCs enterprise-wide:
|
|
|
Comments I have the following comments and/or requests:
|
|
How did you hear about us:
Referral
Yellow Pages
Browsing the Internet
Trade Show(s)
Direct Mail
Sales Call
Telemarketing
TV Advertisement
Radio Advertisement
Print Advertisement
Email
Other
|
|
|