Draper Imaging Group

To purchase at wholesale, your business should have a valid sales tax or business license for your state, or a Federal EIN number. If you are uncertain if you qualify, please contact us. Retail customers please visit us at LegacyImage.com

Capitalization Counts! Your information is entered into our records exactly as you supply it. If you don't capitalize words, we will assume that's your preferred spelling.

Fields marked with * must be completed in order for your request to be processed.

Your Name:*

Business Name:*

Shipping Address 1:*

Shipping Address 2:

City:*

State:* ZIP:*

Phone:* FAX:

Email:*

What best describes your primary business? * Years in business:*

Sales Tax or Business License Number, or Federal EIN: Required for wholesale pricing

Your website address: http://

Do you wish to be listed on our “Locate a Dealer” search on our consumer site, LegacyImage.com? Yes No

Please select a password for logging into our website:
(Your password should be at least six characters. It must consist of letters or numerals only, begin with a letter and include at least two numerals.)

How would you like to pay for your orders?*

For UPS purposes, is your shipping address residential or commercial?

How did you hear about us?

By submitting this form, you are requesting communications and/or information about our products and services to be sent to you by email.

Your Privac y is Important to Us.
We do not share email addresses or other information about you or your business with any third party interests.

Why We Ask For Your Tax ID
We ask you to provide a government-issued ID number to validate your status as a business so that you may qualify for wholesale pricing. This can be a state-issued sales tax license or business license number, or your Federal EIN. (Please do not supply your personal SSN in this space.)

Retail Customers
Please visit LegacyImage.com
to locate a dealer or shop online.