Network Installation Survey - page 1 of 4

CUSTOMER INFORMATION
*Required Fields

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Network Installation Survey - page 2 of 4

NETWORK/OPERATING SYSTEM INFORMATION
*Required Fields

Current Network Administration: Onsite Third Party

Network Administrator Contact Info:

Third Party Contact Info (if applicable):


Server Operating System (choose all that apply):
Windows NT Server
Windows 2000 Server
Windows 2003 Server (Standard or Enterprise)
Windows 2003 Small Business Server
Linux Server
Unix Server
Macintosh Server
Novell Server
AS400 Server
Other

Client Operating System (choose all that apply):
Windows 98
Windows 2000
Windows XP
Macintosh OS 9 or earlier
Macintosh OS X
Linux / Unix
Vista Home
Vista Business

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Network Installation Survey - page 3 of 4

PRINTER/CONNECTION INFORMATION
*Required Fields

Printing Enviroments (choose all that apply):
Citrix
Terminal Services
Peer to Peer
Other

Do you print from any DOS based programs? Yes   No

If Using TCP/IP, what IP address do you want assigned to the device?
example - IP=192.168.1.20 Subnet=255.255.255.0 Gateway=192.168.1.1


Is there a Network Connection Installed at location desired for Copier/Printer? Yes  No

If No, When will Network Connection be installed?


Network Wiring/Media Use (choose all that apply)
100BaseT Ethernet
10BaseT Ethernet
Wireless

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Network Installation Survey - page 4 of 4

PRINTER/CONNECTION INFORMATION PART 2
*Required Fields

How many workstations will need print capabilities?


List of Softwares to print from and Software Version

eg. Photoshop v7, MS Office XP, Autocad 2006

Do you require support for Adobe Postscript Printing? Yes    No

What type of scanning is needed? None Scan to Email Scan to Folder Scan to Email and Folder

If Scan to Email is required, we will need the SMTP mail server address:

eg. mail.charter.net or mail.wwt.net

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