Applied Copier Concepts
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(877) 632-9285

Digital Site Survey


Account Information

Account Name:
Street Address:
City:
State:
Zip:
Contact:
Phone:
 

Network Administrator

Network Administrator Name:
On Site During Installation: Yes   No
Phone:
Email:
Is there a network drop and patch cable for the MFP: Yes   No
If "No", ETA:
For MFPs 45 pages per minute or above is there a NEMA 5-20 20amp Outlet:
NEMA
NEMA 5-20 Receptacle

Yes   No  N/A
If "No", ETA:
If you are faxing is there an analog phone line installed near the MFP: Yes   No  N/A
If "No", ETA:
 

Network Protocol/Topology

Is your network protocol/topology anything other than TCP/IP / Ethernet: Yes   No
If "Yes", please list:
 

Network Clients

Please list the quantity of each network client below:
WIN XP Qty: Version:
Win Vista Qty: Version:
Win 7 Qty: Version:
Mac Qty: Version:
Other (Name and Qty.)
 

Network Print Server

Server OS:
Print Server IP:
Subnet Mask:
Gateway:
Is there any proprietary software that the MFP (Copier) may need to print from: Yes   No
If "Yes", please list:
 

MFP (Copier) Print Settings

Note: The MFP IP address must be STATIC
MFP IP Address:
Subnet Mask:
Gateway:
 

MFP (Copier) Scan Settings

Check which method(s) you will be utilizing:
Scan to Email
  Email Server IP:
Scan to FTP
  FTP Server IP:
Scan to File
Host Name: User Name: Password:
Is there any proprietary software that the MFP (Copier) may need to scan to: Yes  No
If "Yes", please list:
 

MFP (Copier) Fax Settings

Check which method(s) you will be utilizing if MFP is faxed equipped:
Fax Forwarding (To Email)
  Email Address:
Desktop Faxing
 

Networking Information

 

All Color / Black & White Connected Installations As Follows


1. ACC will assist with Printer Driver software installation on up to 3 workstations.


2. ACC will provide training for the Network Administrator or Key Operator (if present) on the installation of driver and scan options.


3. Additional Workstations are charge at $35.00 each.


4. ACC will NOT install software or make modifications on a customer's server without the Network Administrator or a representative of the customer's IT Department present.


5. When configuring Scan to Email the preferred method is scanning to a Microsoft Exchange Server. When using an outside ISP for Scan to Email ACC will configure on a "best efforts" basis and can only guarantee the functionality of the MFP and not the outside ISP.


6. Scanning to an FTP folder will always be your BEST way of scanning large amounts of Data and/or Files.


Work Will Be Completed As Follows


Network Services, beyond those provided and described above, will be charged at ACC's normal networking rate per hour during normal business hours (8 a.m. to 5 p.m. weekdays). Professional services delivered outside the Applied Copier Concepts normal business hours will be charged at double the standard rates during weekdays and on weekends or holidays. Payment for additional services is due upon completion of these services.


These professional services are performed under your ultimate direction and are provided on a "Best Efforts" basis. You are responsible for evaluating our work and its results, and for determining the suitability of resulting products or recommendations to your business environment.


Applied Copier Concepts makes no warranties, expressed or implied, concerning existing computer hardware, software, systems, or programs, or other products of any type, which may be produced or procured as a result of these services. Applied Copier Concepts is not responsible for any actual or consequential damages that may arise from these professional services. In no case shall Applied Copier Concepts liabilities exceed the sum of the monies received from the customer.

 
 I have read and accept Applied Copier Concepts terms of network installation.
 
Accepted by:
Date:




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