Binder Minder® Information Request Form

Binder Minder® Information Request Form
Please complete this form to request more information about Binder Minder®
1.0	Your Name
1.05	Business Name
1.1	Street Address, or P.O. Box:
1.13	City
1.17	State/Province
1.18	Country
1.19	Zip
1.2	Phone:
1.3	Fax:
1.4	Your Email:
2.1	Your organization's name:

2.2	What type of business are you in?	Library College or University Office Machine Dealer Dealer Manufacturer Consumer Other:
2.3	Brand of Copier
2.4	Model of Copier

2.5	Are you currently using Binder Minder®?	Yes No
2.6	Please send:	Wholesale Price list (dealers only) Brochure

4.0

Specific comments and Inquiries:

	Home		Book Copying		Library Vending
	Our Platen Cover		Large Book Copying		Binder Minder for Your Copier
	Slide shows about BinderMinder		Information Request		Links to Copier Mfgs.
	ENX Magazine		Trade Show Appearances