This form is used to submit monthly copier meter readings for our customers under a maintenance agreement.

Please fill in the information below and click the 'submit" button at the bottom of this form.  All fields with " * " are required. Please submit this form by the 15th of the month.

If you need supplies, paper, or need to request a service call  please include this information in the "Remarks/Comments" box in this form.  If you cannot locate your copy meter please contact us at (800) 559-6757 and we will be happy to assist you.

Copier Meter Reading
* Your Name:
* Company Name:
Department:
(If Applicable)
* Phone Number:
Extension:
(If Applicable)
* E-Mail Address:
* Machine Make:
* Model:
* Black Meter Reading:
* Contract Number: 
  Color Meter Reading:
* Date Reading Taken:
Remarks/Comments:
* Denotes Required Field

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