MFP Network Site Survey

Please fill out this form and submit.

Account Information

Please tell us about yourself: (
*
denotes required fields )


Network Information


Print Drivers


Multifunction Options Desired


Scan To Folder

The installed device will require full access rights to the Scan Folder. A network User Login Account will be needed. If a scan folder already exists, please provide complete file path to existing Scan Folder.

Scan To Email

If Your SMTP server requires authentication please provide the following authentication info:
(This will show up as the Sender address when scanning from the MFP)

Multifunction Extended Options Desired


Inbound Routing

LDAP Setup


Customer Responsibilities

Data Ports, Network Drops, network cables, USB cables, network switches, and power outlets, and fax outlets are to be provided by the customer. In addition, the customer must provide adequate space and environment for the device to be installed.

THANK YOU FOR YOUR BUSINESS, AND THE OPPORTUNITY TO SERVE YOU!