Copy Count Entry Form


Thank you for using the Copy Count Entry Form.  Please be sure to enter all of the required fields accurately.  Please review all of your entries before you click the "Submit Form" button.  After you submit the form, you will receive a confirmation page showing you the information that you have submitted.  You may use your browser's print command to print this page for your own records.

Please enter your DDMS number.  Your DDMS number plate is located on your machine and looks like this.

Thank you for allowing us serve you.

Contact Name:*
Organization:*
Telephone: Include area code and use dashes. (i.e. 785-555-5555)
Email Address:
DDMS Number:*
Meter Reading:*
Toner Count:*

* Indicates a required field.