DocuCard Membership Card: Request for Samples

Please describe your potential DocuCard membership card application:

Name:

Xerox Supply Representative:

Company:

Title:

Phone:

Fax:

Email:

Address:

City:

State/Province:

Country:

Postal Code:

Date Samples Required:

Quantity Needed:

Printer Make & Model:

Finishing Equipment:

Estimated Annual Usage:

Document Size:

Which type of sample do you prefer?

Cutsheet
Continuous

Blank Samples for Testing:

Pre-Printed Presentation Samples:

Paper Specifications:

60#, 163gsm Laser Cover (Long Grain)

70#, 105gsm Laser Opaque (Long Grain)

80#, 120gsm Laser Opaque (Long Grain)

90#, 163gsm Xerox Index (Short Grain)

How Did You First Learn About DocuCard?

Additional Comments:

I would also like samples of:

ValuPeelCard Integrated Membership Cards
ValuPerfCard Integrated Membership Cards
DocuMagnet Integrated Magnets