IBM Maintenance Request for Quote

* Required fields (If the information supplied is not accurate, processing delays will occur)

END USER INFORMATION

Company Name*
Product Location
(varies)
Contact*
Phone*
Address*
City*
State*
Zip*
IBM Customer #


INSTALLED BY
SP Name (VAR)*
(Reseller's Company Name)
SP Enterprise Number
SP Email Address*
(jdoe@test.com)
Warranty Install Date*
(MM/DD/YYYY)
ScanSource Account Number
Sales Rep*

PURCHASED FROM

ScanSource, Inc (Enterprise #8504159)
6 Logue Court
Greenville, SC 29615

Is this a request for a "What if quote?":