Pre-Placement Preliminary Site Survey - American Business Machines, Inc

7303 W. Sam Houston Pkwy N.
Houston, TX 77040

O:713.688.8873

F:713.688.1162

Pre-Placement Preliminary Site Survey
Please just fill out the form below and someone will contact you as soon as possible.

Company's Name

Address

City

State

Postal Code

Phone Number

()

*Main Contact First Name

*Main Contact Last Name

*Main Contact Email

Network Administrator

(ex. abcd)

Network Admin Email

(ex. abcd)

Sales Executive

(ex. abcd)

Sales Executive Phone

(ex. abcd)

NETWORK SCAN & FAX REQUIREMENTS

	COLOR Scanning
	Scan to FIle (Software may be required)
	Scan to E-mail (Software may be required)
	Scan to PC (TWAIN compliant provided)
	PC Faxing (Fax LAN Line required)
	Fax Routing Solutions (Inbound)
	Fax Routing Solution (Outbound)
	Corporation
	IEEE 1394 (Firewire Connectivity)
	PC Faxing (Fax LAN Line required)

Scan Users: #Users:

(ex. 12.34)

Multi-line Faxing: #lines:

(ex. 12.34)

OPERATING SYSTEMS:
NOTE: REQUESTING LPR PRINTING FROM NT4, INSURE MICROSOFT TCP/IP PRINTING SERVICE HAS BEEN LOADED

	Windows 9x/ME
	Windows 2000
	Windows 2003
	Windows XP
	Windows Vista
	Windows 7
	Windows Server
	Citrix Server
	Mac OS
	Novell Netware
	Sun/Solaris
	Linux Unix
	Other

# OF WORKSTATIONS TO PRINT:

(ex. 12.34)

PRINTER INSTALLATION

	N/A
	Server Client: (Print thru Server)
	Peer to Peer (Print directly to machine)

NETWORK PROTOCOLS

	TCP/IP
	DHCP
	Appletalk
	Other

STATIC IP INFORMATION

IP ADDRESS:

(ex. abcd)

SUBNET MASK:

(ex. abcd)

GATEWAY:

(ex. abcd)

CABLE SCHEME

SCAN TO FOLDER

Shared Path and Name: \\

Authenticated Username and Password will be nessasary for this feature. This username MUST HAVE rights to Write to folder(s).)

*NETWORK PATCH CABLES

Lenght:

	5FT
	10FT
	20FT
	25FT

SCAN TO EMAIL

SMPT Server Name:

(ex. abcd)

SMPT IP Address:

(ex. abcd)

DNS 1:

(ex. abcd)

DNS 2:

(ex. abcd)

*Is Authenticating required to send email?

NOTES:
(Please provide any information not listed, specialized software and versions used for printing)

*Required Fields