Please fill out this network survey to help us better understand you network enviroment.

*Required Fields
Contact Information
*Company
*First Name
*Last Name
Title
*Phone Number	()
Mobile Phone	()
*Email Address
Network Information
*Do you have a network drop near where the machine is being placed?	NO YES
*Do you have cable to connect the machine?	NO YES
Network Servers	Mac 10.2.x Mac 10.3.x Mac 9.x Vista Windows XP Windows 2003 Windows 2000 Windows NT Novell Netware 5.x Novell Netware 4.x Novell Netware 3.x APPLE LINUX AS/400 Unix OTHER
*Operating System	Linux Mac OS 9 Mac OS X OTHER Windows 2000 Windows 98 Windows NT Windows XP
*Applications	MS Office XP, 2000,97/98,95 Adobe Industry specific applications Graphic applications Accounting Application Financial Application Reporting Application
*Copier controller IP address assigned by Network Administrator	192.168.0.11
*Gateway Address:	192.168.0.254
*Subnet Mask	255.255.255.0
Do you currently use Document Mgmnt Software?	Yes No
Number of workstations to be connected Basic install includes server and 4 clients.	1 2 3 4 5 6 7 8 9 10