218.722.3111

Fax: 218.720.4608

service@ios-duluth.com

IOS Network Site Survey

Please fill out the form below

Date:
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Company:
Company Address:
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Primary IT Contact:
Phone Number:
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Email:
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Is Network Drop Available?

When will the connection be ready?

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Details of Network:
Printer IP Address:
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Subnet Mask:
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Default Gateway:
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Domain Name:
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DNS 1:
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DNS 2:
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Will driver be loaded on print server?
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How many PCs/Macs will print?
Apps that will be printed from?
Network OS and Versions:
Does network require admin rights for driver installations?
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Email Server and Version:
SMTP Host Name:
Is there SMTP Authentication?:
 Please select a valid item
LDAP:
 Please select a valid item Please make a s
If Yes, enter LDAP Host name:
LDAP Search Base:
Will there be any scan to SMB/ Folder?:
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Shared Locations:
FTP:
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FTP Locations:
Note: If scanning to email/faxing, please enter staff email list/ fax numbers