PRINTER SOLUTION REQUEST FORM

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First name*
 Last name* Title
Company* Address* Address line 2
City* State* Zip*
Country* Phone* Fax
Email* Application notes:
Printer Application:
Printer type:
Degree of Integration: Interface: parallel serial USB other 
Print speed: lines/sec inches/sec Resolution:   DPI DPMM
Power requirements:  V Paper width:  mm Columns/row: 
Options: Auto cutter Presenter Cabling Power supplyCtrl. switches  other
Values marked with an * are required