H & H, Inc. - Network Pre-installation Form

Please fill-out the online form below or if you prefer,

(Please fax the completed application to: (208) 777-0387)

CUSTOMER INFORMATION

CUSTOMER/BUSINESS NAME:

ADDRESS:

CITY: STATE: ZIP: TELEPHONE:

PRIMARY CONTACT: E-MAIL:

NETWORK INFORMATION

DO YOU HAVE AN IT PERSON OR NETWORK ADMINISTRATOR? Yes No

IF YES ABOVE, PLEASE PROVIDE NAME: TELEPHONE:

WILL THE ADMINISTRATOR/IT BE PRESENT AT THE TIME OF INSTALLATION? Yes No

DO YOU HAVE A NETWORK SERVER? Yes No

IF YES, PLEASE PROVIDE THE SERVER OPERATING SYSTEM:

HOW MANY COMPUTER WORKSTATIONS DO YOU HAVE? WHAT OPERATING SYSTEMS?:

WINDOWS 7 WINDOWS VISTA WINDOWS XP MAC OS OTHER

DEVICE INFORMATION

PLEASE LIST THE FOLLOWING INFORMATION IF REQUIRED FOR COPIER/PRINTER FUNCTIONALITY

COPIER MODEL: POST SCRIPT: Yes No NETWORK FAXING: Yes No

IP ADDRESS: SUBNET MASK: DEFAULT GATEWAY:

PRIMARY DNS: SECONDARY DNS:

POP3 IP: USER NAME: PASSWORD:

SMTP IP: SERVER NAME:

LDAP SERVER: LDAP IP: SSL: Yes No

DOMAIN NAME: DOMAIN USER: PASSWORD:

USER CODES: Yes No SCAN TO EMAIL : Yes No

SCAN TO FOLDER: Yes No SCAN DEFAULT FORMAT: PDF TIFF/JPEG

SCAN FOLDER SHARE/LOCATION:

NOTES
H & H maintain all hardware sold to our customers under the terms and conditions of the maintenance agreement that applies to that hardware. We do not make a practice of working on customer network servers or work stations. We will gladly assist your IT personnel with the successful installation of any device sold to you by H & H. A successful installation is defined as: the device is installed and working correctly on the day of installation, and once done, on that day, is to be considered complete by both parties. Thereafter, maintaining the device on the network is the customer’s responsibility.
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