Note: All Fields with a * are required.


Company Name:              *  
Contact Person:    *  
Phone:        *  


 Network Administrator:

Adm. Phone: 
Is this printer replacing a current network printer?
What type of Network is in use? 
The Device will be connected as
Drivers will be loaded on        
Is there an internal mail server   
Is there a firewall or Proxy server    
Is there an active network port where the printer/scanner will be located  
What Operating System is in use       
Your network protocol is   
Your print language is         
IIs your network wireless             

Comments or Special Needs  


NOTE:

CLIENTS MUST PROVIDE CABLES AND ANY PASSWORDS NEEDED FOR THE INSTALLATION.