Customer Site Survey Business Name *Contact Name *Contact EmailPhone *Delivery Address *Apartment, suite, etcCityStateElevatorYesNoLoading DockYesNoAdditional Parking InfoStreet parking, gated entry, etc.Operating System EnvironmentWindowsMacChromebookMobileNo. of DevicesMax 8 locally. Addt’l fee per device over.0 / 2Administrator required for driver install?YesNoWe'll need IT available if admin functions are blocked.Functions Requested *Scan to FolderScan to EmailFaxUser Auth/Dept CodesNonePrint Server on-site?YesNoDo you have IT? *YesNoNetwork InformationDevice IPv4 AddressSubnet MaskGateway AddressPrimary DNS ServerSecondary DNS ServerSMTP Server Address (Scan to Email)Typically your email provider's email relay. Consult your IT for this info.SMTP Auth Address (Scan to Email)We do not need the password right now, but we will need during delivery.Upload Email Address BookUpload a file that contains a list of email addresses to be programmed into the equipment's address book.Choose FileNo file chosenDelete uploaded fileScan Folder Paths (Scan to Folder)We'll need authentication (username and password) to each path during delivery.Name/LabelShare PathIT Contact NameIT Company NameIT Contact EmailIT Phone NumberIs IT On-Site?YesNoWill IT be available for installation?YesNoSubmit
