Sales Inquiry

First Name

Last Name

Company name

Job Title

Business Email

Business Phone

Business Address

Preferred Budget

Are you an existing Customer?

What printer brand and model are you currently using?

Remarks

How did you find us?

Promotion Code

I would like to book a product demonstration apppintment

What are your requirements?

I represent and warrant that I have the authority to provide the information submitted in this form (including information in any attachments) to Fuji Xerox Philippines, and I give my consent for such information to be stored, used and/or disclosed by Fuji Xerox Philippines for the purpose of investigating and/or responding to my sales inquiry. I acknowledge that I have read, understood and/or have been duly informed of the terms and conditions pertaining to the data privacy practices of the Fuji Xerox as reflected in the Fuji Xerox Data Privacy Policy at https://www.fujixerox.com.ph/en/Privacy-Policy and I hereby express my full conformity thereto.

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