Capitol » Order Supplies

*Indicated required information.

Company Name*
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Machine ID/Serial#* (May be located on COS sticker on your machine)*
B&W Meter Reading
Color Meter Reading
PO# (If needed for billing)
Please select the supply & quantity needed (if none needed, no entry required)
Black Toner Cyan Toner Magenta Toner Yellow Toner Waste Bottles Staples (Billable)
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Black Toner	Cyan Toner	Magenta Toner	Yellow Toner	Waste Bottles	Staples (Billable)