Business Impressions - Digital Site Survey

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ACCOUNT INFORMATION

Account Name(Required)

Address(Required)

Street Address City State ZIP Code

Contact(Required)

Phone(Required)

NETWORK ADMINISTRATOR

Network Administrator Name(Required)

Phone(Required)

Email(Required)

On Site During Installation:(Required)

Yes

Is there a network port and patch cable for the MFP?(Required)

Yes

If "No", ETA:(Required)

For MFPs 45 pages per minute or above is there a 20amp Outlet?(Required)

Yes

N/A

If "No", ETA:(Required)

If you are faxing is there an analog phone line installed near the MFP?(Required)

Yes

N/A

If "No", ETA:(Required)

NETWORK PROTOCOL/TOPOLOGY

Is your network protocol/topology anything other than TCP/IP / Ethernet?(Required)

Yes

If "Yes", please list:(Required)

NETWORK CLIENTS

Please list the quantity of each network client below

WINDOWS(Required)

Quantity and Version

MAC(Required)

Quantity and Version

OTHER(Required)

Quantity and Version

NETWORK PRINT SERVER

Server OS(Required)

Is there any proprietary software that the MFP (Copier) may need to print from?(Required)

Yes

If "Yes", please list:(Required)

MFP (COPIER) PRINT SETTINGS

Note: The MFP IP address must be STATIC

MFP IP Address(Required)

Subnet Mask(Required)

Gateway(Required)

MFP (COPIER) SCAN SETTINGS

Check which method(s) you will be utilizing:(Required)

Scan to Email

Scan to SMB/FTP

Scan to File

Email SMTP Server:(Required)

FTP Server IP:(Required)

Host Name:(Required)

User Name:

Password:

Is there any proprietary software that the MFP (Copier) may need to scan to?(Required)

Yes

MFP (COPIER) FAX SETTINGS

Check which method(s) you will be utilizing if MFP is faxed equipped:(Required)

Fax Forwarding (To Email)

Desktop Faxing

N/A

Email Address(Required)

NETWORKING INFORMATION

Business Impressions will assist with Printer Driver software installation on up to 5 workstations.

Business Impressions will provide training for the Network Administrator or Key Operator (if present) on the installation of driver and scan options.

Business Impressions will NOT install software or make modifications on a customer's server without the Network Administrator or a representative of the customer's IT Department present.

When configuring Scan to Email the preferred method is scanning to a Microsoft Exchange Server. When using an outside ISP for Scan to Email Business Impressions will configure on a "best efforts" basis and can only guarantee the functionality of the MFP and not the outside ISP.

Scanning to an FTP folder will always be your BEST way of scanning large amounts of Data and/or Files.

WORK WILL BE COMPLETED AS FOLLOWS

The customer is responsible for the print drivers and scan configuration after the initial installation. Software changes are not covered by copier service contracts offered through Business Impressions. The customer is responsible for any changes that may affect the copier’s initial installation including changes to the network settings, office environment, personnel or copier relocation. The copier can be tested at customer’s request to verify it is working correctly, and any re-installation/re-configuration due to these changes will incur additional service fees.

Business Impressions makes no warranties, expressed or implied, concerning existing computer hardware, software, systems, or programs, or other products of any type, which may be produced or procured as a result of these services. Business Impressions is not responsible for any actual or consequential damages that may arise from these professional services. In no case shall Business Impressions liabilities exceed the sum of the monies received from the customer.

I have read and accept Business Impressions terms of network installation.(Required)

Check to Confirm

Accepted by(Required)

Date(Required)

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