Industrial Printer & Print Solutions

+1 440-374-2424

Reseller Lead Registration Form

Reseller Information

The field is required.The field is required.
The field is required.The field is required.The field is required.The field is required.The field is required.The field is required.

The field is required.The field is required.The field is required.


Prospect Information

The field is required.The field is required.

The field is required.The field is required.The field is required.The field is required.The field is required.The field is required.

The field is required.The field is required.The field is required.


Interest in (please mark all that apply)

Continuous Laser Printers



Thermal Printers



Thermal Print Modules



Cutsheet Laser Printers



Impact Matrix Printers



1. What is the Host Computer, Operating System, environment?*
(i.e. IBM Mainframe, Windows OS, Linux, Network etc..)The field is required.

2. What type of Software Programs will be used to produce your printed output?*
(i.e. Windows Applications, In-house Programming, IBM Applications)The field is required.

3. What Printer emulation (language) do you require?*
(i.e. PCL, IGP, IPDS, Line Printer, etc..)The field is required.

Are you willing to capture “printable files” to be sent to Microplex for qualification testing?*

4. What type of Printer is customer currently using? Brand name, Model? How many years in use?*The field is required.

5. What types of Media will be printed? What are the Media sizes (width x length)? Approximately how many pages per month? per year?*The field is required.

6. Are you willing to send media Samples to Microplex for testing/qualification?*The field is required.

7. What type of Print Speed is required?*The field is required.

8. What is the customers timeframe for completion of this Print Project?*The field is required.

9. What budget is available for this Print Project and is the budget approved within customers department/company?*The field is required.

10. Are other Solutions being consider for this Print Project, other then Microplex? If so, what are the other product considerations?*The field is required.

11. Will you require Microplex Onsite Maintenance? If so, what type of coverage?*The field is required.

12. Do you require Microplex Printer Installation of your printer at your site? Describe the physical location that your printer will be installed?*
(i.e. Raised floor environment, Production facility, Environment controlled, etc.)The field is required.

Comments / Product Applications:The field is required.

(*) = RequiredNot all mandatory fields contain values.There was an error trying to send your message. Please try again later.