PURCHASE Please remember to create a maintenance purchase order once the maintenance period expires (90 days after initial purchase).
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1 ORDERING INSTRUCTIONS COMPANY: TOSHIBA AMERICA BUSINESS SOLUTIONS, INC. FEDERAL IDENTIFICATION NUMBER: CONTRACT Primary contact person responsible for answering questions regarding contract is: Name: Mike McKinley Title: National Account Manager Address: Toshiba c/o GEM Dept., 2 Musick, mike.mckinley@tabs.toshiba.com Phone Number: Cell Number: Fax Number: After hours Emergency Number: ORDERING INFORMATION Please provide the following information on the Purchase Order: Contract Number: Purchase Order Number Supplier/Vendor Name Bill To/Ship To Acquisition Type (Purchase, Lease - 36M/48M/60M) Quantity Description Unit Price (Bundled Hardware & Maintenance, applicable to lease only) IMPORTANT NOTES PURCHASE Please remember to create a maintenance purchase order once the maintenance period expires (90 days after initial purchase). LEASE Please bundle the hardware and maintenance pricing into the Unit Price. i.e. Monthly Hardware Cost + Monthly Maintenance COUNTY COVERAGE Please select the dealer/reseller based upon the appropriate Coverage listed on the following pages. MYFLORIDA MARKETPLACE AND NON-MYFLORIDA MARKETPLACE USERS Please carefully review the ordering instructions, they are different based upon users. Toshiba offers the qualifying entity the ability to acquire the equipment directly from Toshiba or through the local dealer/reseller. To order, please refer to the following pages for important Coverage and Ordering Instructions information.
2 DEALER/RESELLER: COPYCO INC DBA TOSHIBA BUSINESS SOLUTIONS FLORIDA COUNTY COVERAGE: Alachua, Bradford, Broward, Citrus, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Indian River, Lafayette Lake, Levy, Madison, Marion, Martin, Miami-Dade, Monroe, Okeechobee, Orange, Osceola, Palm Beach, Putnam, Seminole, St. Johns, St. Lucie, Sumter, Suwannee, Union, Volusia NON- Contact: Patricia Jean-Charles 6401 Nob Hill Road Please select the correct FEIN per Supplier Tamarac, FL Phone: , ext Fax: Supplier: CopyCo Inc dba Toshiba Business Solutions Florida Order From: 6401 Nob Hill Road Tamarac, FL FEIN: F Order From: 1310 Madrid Street Suite 101 Marshall, MN FEIN: F
3 DEALER/RESELLER: ADVANCED BUSINESS SYSTEMS COUNTY COVERAGE: Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla NON- Contact: Brian Snow 1236 North Montroe Street For MyFlorida users, please select the correct FEIN per Supplier Tallahassee, FL Phone: Fax: Supplier: Advanced Business Systems Order From: 1236 North Montroe Street Tallahassee, FL FEIN: F Supplier: Advanced Business Systems Order From: 1236 North Montroe Street Tallahassee, FL FEIN: F Supplier: Advanced Business Systems Order From: 1236 North Montroe Street Tallahassee, FL FEIN: F
4 DEALER/RESELLER: AMERICAN BUSINESS SYSTEMS COUNTY COVERAGE: Baker, Clay, Duval, Nassau, St. John's NON- Contact: Fred Klusmeier 9637 Hood Rd For MyFlorida users, please select the correct FEIN per Supplier Jacksonville, FL Phone: Fax: Supplier: American Business Systems Order From: 9637 Hood Rd Jacksonville, FL FEIN: F FEIN: F
5 DEALER/RESELLER: BORING BUSINESS SYSTEMS COUNTY COVERAGE: Hardee, Highlands, Hillsborough, Polk NON- Contact: Dean Boring 938 East Main Street For MyFlorida users, please select the correct FEIN per Supplier Lakeland, FL Phone: Fax: Supplier: Boring Business Systems Order From: 938 East Main Street Lakeland, FL FEIN: F FEIN: F
6 DEALER/RESELLER: COASTAL BUSINESS PRODUCTS INC COUNTY COVERAGE: Bay, Calhoun, Escambia, Franklin, Gulf, Holmes, Jackson, Okaloosa, Santa Rosa, Walton, Washington NON- Contact: Kieran May 1855 Huriburt Road For MyFlorida users, please select the correct FEIN per Supplier Ft. Walton Beach, FL Phone: Fax: Supplier: Coastal Business Products Inc Order From: 1855 Huriburt Road Ft. Walton Beach, FL FEIN: F FEIN: F
7 DEALER/RESELLER: COPY CONCEPTS INC COUNTY COVERAGE: Charlotte, Collier, DeSoto, Glades, Hardee, Hendry, Hemando, Highlands, Hillsborough, Lee, Manatee, Pasco, Pinellas, Sarasota NON- Contact Person: Mike McBride Metro Parkway For MyFlorida users, please select the correct FEIN per Supplier Fort Myers, FL Phone: Fax: Supplier: Copy Concepts Inc Order From: Metro Parkway Fort Myers, FL FEIN: F FEIN: F
8 DEALER/RESELLER: DANKA OFFICE IMAGING COUNTY COVERAGE: Statewide Coverage NON- Contact: Ron Schofield 1891 Capital Circle Ne Unit 4 For MyFlorida users, please select the correct FEIN per Supplier Tallahassee, FL Phone: Fax: Supplier: Danka Office Imaging Ronald_Schofield@Danka.com Order From: 4388 Collections Center Drive Chicago, IL FEIN: F FEIN: F
9 RESELLER: SKYWAY TECHNOLOGY GROUP INC COUNTY COVERAGE: Hillsborough, Pasco, Pinellas NON- Contact: Byron Norrie, Jr Tampa West Blvd For MyFlorida users, please select the correct FEIN per Supplier Tampa, FL Phone: Fax: Supplier: Skyway Technology Group Inc Order From: 5014 Tampa West Blvd Tampa, FL FEIN: F FEIN: F
10 RESELLER: TOSHIBA AMERICA BUSINESS SOLUTIONS INC COUNTY COVERAGE: Statewide Coverage NON- Contact: Mike McKinley 2 Musick For MyFlorida users, please select the correct FEIN per Supplier Phone: Fax: mike.mckinley@tabs.toshiba.com Order From: 1310 Madrid Street Suite 101 Marshall, MN FEIN: F
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