Company:
Telephone:
Address:
City, Zip
Dealer Region:
Cincinnati Area
Columbus Area
Dayton Area
Account Executive:
Equipment to be installed:
Network Staffing:
Administrator:
Telephone:
Do you have
IT Staff Onsite
IT Staff Offsite
Network Security:
Do users have administrator rights on their local machines?
Yes
No
Are there network permissions that restrict file & printer sharing?
Yes
No
Do you have a firewall the prohibits anonymous SMTP access?
Yes
No
Do users have a personal firewall on their local machines?
Yes
No
Are there file size restrictions on your mail server?
Yes
No
Operating Systems
(Total users for each on your network)
Windows XP
Mac OS X
Unix
Windows 2000
Mac OS 9
AS-400
Windows NT 4.0/3.51
Mac OS 8
Citrix
Windows ME/95/98
DOS
Other
Applications other then standard Windows based
(Please fill in the appropriate boxes)
PC: Other Applications
Mac: Other Applications
Network Servers
(Please fill in with type)
Type of Server
Network Information
(Please fill in any appropriate box)
IP Addresses are :
Assigned by DHCP
Static Addresses
Wins Resolution
Other
Workgroup
Domain Name
Misc
MFP Network Information
Note:
MFP is HIGHLY recommended to use a static IP address.
Proposed IP Address of MFP:
Subnet Mask
Gateway
SMTP Server Address:
SMB Device Name:
Printing via: Server Share
OR Local Install
X
Workstations
Scanning to: File:
E-Mail:
Desktop:
FTP:
Note:
Customer is responsible for cabling to the MFP
Note:
The installing dealer can install network cables, network cards into client PCs, network protocols or perform general network troubleshooting in areas not pertaining to installation of the MFP for an additional fee.