Ejemplo de Formulario de Solicitud

Name*

Email*

Company Name*

Phone*

Address (PO boxes are not accepted)*

City*

State*

Zip*

Country*
---CanadaUnited States

Printer Model*
---VJ 426UFVJ 626UFVJ 1638UHVJ 1638URVJ 1627MHPJ 2508UFMP31 InkUV/LED Varnish InkUV/LED White InkUV/LED Hard InkUV/LED Flexible ink---VJ 628VJ 1324X/1624XVJ 1638X/2638XXPJ 1641SRXPJ 1682SR---RJ900VJ 1624WXVJ 1638WX/1938WX/2638WXVJ 1948WX---1938TX---ValueCut 2

Do you have a current dealer?

YES
NO

If yes, please list

How did you hear about us?

Publications*
---Sign & Digital Graphics MagazineRestyling MagazinePrintwear MagazineA&E MagazineWide Format Imaging MagazineQuick Printing MagazineDigital Output MagazineBig Picture MagazineSigns of the Times MagazinePackage Design MagazineScreen Printing MagazineNone of the Above

Trade Shows*
---ISASGIANBMGraph ExpoSEMAOtherNone of the Above

Other*
---Word of MouthQR CodeWeb PageMagazine AdOther

Main industry / application*
---SignWrapPackagingSpecialtyOther

Note: Sample requests will be shipped within one business week of time of request. Mutoh America can only ship to residential and commercial addresses in North, Central and Latin America. PO boxes are not accepted.