Connectivity Evaluation
*Company
*First Name
*Last Name
Title
*Telephone
*Address
*City
*Zip code
*Email Address
Network Administration Information
*Network Administrator
*Net Admin On Site?
*Net Admin Phone
*Net Admin Email
Current Network Environment
Printer Languages in use?
OS's you print from?
Current Network Protocols in use?
Current Print Server OS?
*Is PostScript Required for any applications?
*Is there a live network connection available and near the MFP?
*Is there an appropriate electrical outlet in place for the MFP?
Preferred Connection to our MFP?
MFP Configuration Information
Available IP Address for the MFP
Format: 123.123.123.123
Subnet Mask
Format: 225.225.225.0
Gateway Address
Format: 123.123.123.123
Primary DNS Server
Format: 123.123.123.123
Secondary DNS Server
Format: 123.123.123.123
Email Server
Name or Address
Preferred Scanning Method
Dedicated Fax Number (if applicable)
format: (559) 123-4567
Is a live phone jack available for the fax option?
*Required Field
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