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Contact-Office
Contact-It
Phone 1
Phone 2
*
Email Address
Email Address 2
Site Survey Required
Yes
No
Site Survey Date
Install Date
Power Requirements
220v 20 amp NEMA 6-20R
55 to 75 ppm B/W 115v 15amp NEMA 5-20R
Less than 55 ppm B/W 115v 15amp NEMA 5-15R
LAN PHYSICAL WIRING / CABLING
Network Type
Ethernet
Other
Network Cable Type
ARCNet
CAT 3
CAT 5
FDDI
Local Talk (Apple)
Other
Shielded (STP)
Un-Shielded (UTP)
CLIENT COMPUTERS
IBM Compatible
Windows 2000 Pro SP
Windows 9X Ver
Windows ME
Windows NT Ver. SP
Windows XP (Pro - Corp. -Home) SP
Any DOS Applications
Yes
No
Macintosh
OS, Any OS8 Apps
Sys 7 or Later Ver.
If OS, Any OS8 Apps
Yes
No
EQUIPMENT INFORMATION
Network Operating System
Citrix Ver.
Linux
Mac OS (Apple Share)
Mac OS (Apple Share)
Novel NetWare Ver. SP
Novell 5+ using NDPS
Other
Terminal Server
UNIX
Windows 2000 Server SP
Windows 2003 Server SP
Windows NT Server Ver. SP
Windows Peer to Peer
Windows SBS 2003 Server SP
If Novell 5+ using NDPS
No
Yes
NETWORK PROTOCAL AND FRAME INFORMATION
Protocol Used
Apple Talk
IPX/SPX
Other
TCP/IP
Frame Type
802.11 (WAP)
802.2
802.3
802.5
Other
How will Printer\MFP be Connected?
LPR
Local via Parallel Cable
TCP/IP Port
Novell
Binary Print Queue
NDPS
NDS
Smart Net Monitor ( Lanier )
Exchange Server
In House
Outlook
Web based
EQUIPMENT INFORMATION
Model Number
Product Number
Serial Number
Ordered/Instock/Backordered
SETUP SUPPLIES
Toner Product Number
Qty
Developer Product Number
Qty
Other
Qty
EQUIPMENT TO BE REMOVED
Product Number
Serial Number
Owned By
Requested By
Site Survey By
Set Up By
Installed By
*
Required Fields
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