Select Business Systems will configure your new copier / printer / scanner / fax with the network information provided below as applicable to your configuration.

Select Business Systems will install or assist your IT support personnel in the installation of print drivers, fax drivers, scanning software and other software provided with the purchase of your equipment on up to four individual computers, but not to exceed four hours

(Installation beyond four computers can be requested and will be billed at the current hourly rate).

Connectivity support is limited to the installation and configuration of software provided with the Digital MFP. Connectivity support does not extend to the installation, configuration and troubleshooting of software such as Operating Systems, applications and graphics programs, print spoolers, personal firewall and anti-virus software or hardware such as routers, switches, hubs and premis wiring.

Any issues related to items such as Operating System corruption, virus removal or hardware failures (not related to the Digital MFP itself) should be refered to your regular IT support personnel.

Should your regular IT support personnel have any questions about how your Digital MFP connects to your network or interacts with your software applications, we are always available to work with them to answer questions and create working solutions.**

Company Contact Information
*Company
*First Name
*Last Name
Title
*Phone Number	()
*Address
*City
*Postal Code
*Email Address
Network Administration Information
*Network Administrator
*Net Admin On Site?	Yes No
*Net Admin Phone
Net Admin Email
Current Network Environment
Printer Languages in use?	PCL6 PCL5 PostScript 3 PostScript 2 RPCS (Ricoh/Savin) HPGL Other / Unknown
OS's you print from?	Windows 7 (32bit) Windows 7 (64bit) Windows Vista (32bit) Windows Vista (64bit) Windows XP (32bit) Windows XP (64bit) Windows 2000 Windows 98 Windows NT 4.0 MAC OS X MAC OS 9 IBM AS/400 Linux / Unix Solaris Other / DOS
Current Network Protocols in use?	TCP/IP (IPv4) TCP/IP (IPv6) IPX/SPX AppleTalk Other
Current Print Server OS?	Windows 2000 Windows 2003 Novell Other
Primary Printing Applications
*Is PostScript Required for any applications?	Yes No
*Is there a live network connection available and near the MFP?	Yes No
*Is there an appropriate electrical outlet in place for the MFP?	Yes No
Preferred Connection to our MFP?	Cat5/6 Ethernet Cable Wireless Parallel USB Other
MFP Configuration Information
Available IP Address for the MFP	Format: 123.123.123.123
Subnet Mask	255.255.255.0
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	N/A Email Windows Folder FTP Not Applicable
Dedicated Fax Number (if applicable)	Format: (559) 123-4567
Is a live phone jack available for the fax option?	No Yes
*Required Fields