I was an account rep not too long ago and there were still small businesses in middle america that didn't have fax machines or computers. They had healthy businesses but they'd have to drive 10-15 miles to a fedex kinkos just to send documents. Some business owners would only communicate via postal mail. I had a good number of merchants that would send the original copies of their statements via fedex or snail mail so that I could copy them and then I'd have to mail back their originals. It was a nightmare but these people wouldn't do it any other way. As Finance1 said, this tended to be with the over 50 crowd.