Xerox FreeColorPrinters Application

Simply complete the form below and you'll be notified within 1–2 business days regarding your qualification status. There is no obligation once you submit this form and the program is risk-free!

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Contact Information

First Name:

Last Name:

Job Title:

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Work E-mail:

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Alternate Phone:

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Best Time to Contact:

Referral Code:

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Your Organization

Organization Name:

Doing Business As (DBA):

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Industry:

Years in Business:

Number of Employees:

Approximate Gross Revenue:

Website:

Business Address:

Business Address 2:

City:

State:

ZIP Code:

My shipping address and business address are the same

Shipping Address:

Shipping Address 2:

Shipping City:

Shipping State:

Shipping ZIP:

Printing Environment

Approximately how many pages do you expect to print on the Phaser 8560 per month?
What percentage of your printing is in color today?
How much do you spend on printing per month?
How do you plan on using the Phaser 8560 color printer? (300 character max)

Yes, I am authorized to enter into the FreeColorPrinter Program from Xerox on behalf of my organization.

Yes, please keep me informed about occasional special offers and new Xerox office products.

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(Applications will be saved for 30 days)

If you were referred by a FreeColorPrinters member, please enter their numeric member code here.

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If you do not have a referral code, please leave this field blank. For further help on referral codes, please call us at 1-866-890-2168.

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Xerox FreeColorPrinters Application

Contact Information

Your Organization

Printing Environment