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Network survey.
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Required Fields
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Please Select One Of The Following Network Install Options:
OPTION 1
: Printer and Non Color products 20 CPM or under. $195
OPTION 2
: Copier and Color products 21 CPM or Above. $295
OPTION 3
: Included in purchase price of equipment
OPTION 4
: Customer declines ABS I.T. install support
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Company
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Title
Department
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First Name
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Last Name
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Phone Number
(
)
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Email Address
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Address
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City
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State
Select a State
N/A
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Ontario
Quebec
Nova Scotia
New Brunswick
Manitoba
British Columbia
Prince Edward Island
Saskatchewan
Alberta
Newfoundland and Labrador
Armed Forces - AE
Armed Forces - AP
Armed Forces - AA
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Postal Code
I.T. Contact:
Is the IT contact in-house or a consultant?
Consultant
In-house
ABS Rep:
Machine Model #:
Client Operating System (Desktops)
Windows
Macintosh
Other
Network Operating System
Mainframe
Other
Unix/Linux
Windows peer-to-peer
Windows server
Applications
Access
Corel DRAW
Excel
Freelance
Illustrator
Other
PageMaker
PhotoShop
PowerPoint
Quark Xpress
Visio
Word
WordPerfect
Email
If you plan on using the scan-to-email function, please indicate your environment.
N/A
Internet,ISP,etc.
On-site server
Will this machine be replacing an existing printer?
Yes
No
Don't know
Is the proper electrical outlet in place?
Yes
No
Don't know
Is the nework plugin next to the machine? (2 required for Kyocera models)
Yes
No
Don't know
IP address(es) to be assigned
Do you currently use any Document Imaging solution that will interface with this machine?
Yes
No
Don't know
If yes to previous question, please indicate brand.
(i.e. Docuware, E-Cabinet, etc.)
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Customer Acknowledgement
Please type your name in the box to agree to the
General Release and Limitation of Liability