Network Survey Form  
Date
Company
Address
City
State
Zip Code
Please Enter Your Sales Rep's Email Address
Network Specific Information  
Intended Uses **may require optional equipment
  Desktop Faxing   Scan To Email   Scan To Desktop   Scan To Network Share
Client Applications  
MS Office Version
  Office97   Office2000   OfficeXP   Office2003
Adobe Acrobat Version
  Acrobat 4.0   Acrobat 5.0   Acrobat 6.0   Acrobat 7.0
Quark Express Version
CorelDraw Version
Adobe Indesign Version
Freehand Version
Other Key Software Used
Client Computer Configurations  
Please select all systems our equipment will interface with.  
Windows Workstations
  Windows 98   Windows NT   Windows 2000   Windows XP
Macintosh Workstations
  Mac OS 9.x   Mac OS X 10.1   Mac OS X Jaguar   Mac OS X Panther   Mac OS X Tiger
Network Operating Systems  
  Windows NT 4.0
  Windows 2000 Server
  Windows Server 2003
  Novell 4.x
  Novell 5.x
  Novell 6.x
If Other, please specify:
Network Specific Information  
Network Administrator Availability:
  None Available   In House   Via Phone
Network Administrator's Name:
Network Administrator's Phone Number:
Network Drop Installed And Tested
Yes No
If No, Expected Installation Date
Additional Information  
What Additional Equipment Will Be Installed?
  None   Ecopy ScanStation   Sharescan OP
Comments
 



Scanning Specific Information  
Corporate Email Application
Document Managment System Used
Corporate Email Server
  MS Exchange 5.5
  MS Exchange 2000
  Ms Exchange 2003
  Novell Groupwise
  Lotus Domino
  ISP Provided
  Other
Network Fax Server
  RightFAX
  OmTool
  Optus
  Castelle
  Other
If Other Email Server, please specify:
If Other Fax Server, please specify:
IP Address
  DHCP   Static
If Static IP Address, please specify:
Subnet Mask
Gateway Address
DNS Server Address
User Account Associated with ScanStation
Password Desired
Email Server Name
Email Server IP Address
Scan Folder/Inbox Network Path