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Installation Form

Thank you for taking the time to provide us with some of your network information. This will greatly assist us in delivering a World Class Customer Experience. Please completely fill out this form and include any additional comments.  If you have any questions regarding this form or the installation process, please call (800)442-9070 to speak to a representative in the Customer Care Center (option 1) or our Logistics Coordinator Heather Alberts (x23195).


Company Name*
Your Name*
Email*
Phone*
Do you have an offsite IT Department or 3rd party IT?
Offsite IT Dept:   Yes
  No
  N/A
If we will need to contact this offsite IT regarding networking, please provide a contact name & phone number.
IT Contact*
IT Contact Phone*
Do you have a place to plug the network cable in?
Network Drop:   Yes
  No
  N/A (No network, USB, etc.)
MOS will configure up to 5 workstations at no additional charge. Any additional setup is subject to a service fee. 

How many computers will be printing to this machine?
Number of PC Computers
Number of Mac Computers
Which scanning feature will you be using?
Scan to Email
Scan to folder on desktop
Scan to server
If you would like to use the Scan to Email feature, MOS will attempt the process, but certain email providers are not compatible with your equipment.

Who is your email provider?
Company Exchange Server
GoDaddy
Comcast
Frontier
Other
Do you have administrative rights to the server?
Rights:   Yes
  No
  N/A
If your server requires authentication, do you know the login information?
Login:   Yes
  No
  N/A
Do you plan to use the accounting feature? 
Accounting:   Yes
  No
MOS provides a convenient software program that proactively monitors your service and supply needs.

Who will be the main contact for this proactive service program?

Meter Contact
Where will this service program be downloaded? (Windows-based OP System only)
Program Download

Machine Model & Location within Building
Please provide the following IP information:
IP Address
Subnet Mask
Gateway
Domain Name

DNS Primary
DNS Secondary
If you have additional machines, please also provide the following IP information:
2nd Machine Model & Location within Building
IP Address 2
Subnet Mask 2
Gateway 2
Domain Name 2
DNS Primary
DNS Secondary 2
If you have ordered more than 2 machines, please attach an Excel document via the upload button below. Include the following IP information: Model of Machine, Building Address, Location in Building, IP Address, Subnet Mask, Gateway, Domain Name, DNS Primary, and DNS Secondary


Please provide any additional comments:
Additional Comments
Additional IP Information   
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Items in RED are required.
   

 

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