New England Digital Needs Analysis
Company *
IT Contact *
Title
E-mail Address: *
Address
City
State
Zip
Phone # and EXT *
Did You Want To Print
# of Workstations Printing
Did You Want To Scanning
# of Workstations Scanning
What Type of ScanningSCAN TO SMB
SCAN TO FTP
SCAN TO EMAIL (Exchange Server Required)
Twain Scanning
Fiery Scan
Scan to HDD
Workstation Operating Systems
QTY
Workstation Operating Systems
QTY
Workstation Operating Systems
QTY
Mail Server Operating Systems
Version
Print Server Operating Systems
Version
Network EnvironmentETHERNET
TOKEN RING
WIRELESS
There are enough dedicated electrical outlets near the equipment.
There are sufficient live network conections near the equipment.
There is a Patch Cable (RJ45) available (Copier to wall)
OTHER
Printer Languages NeededPRESCRIBE
PCL
PS
XPS
KPDL3
Protocols Used
System #1 Static IP, SubNet & Gateway
System #2 Static IP, SubNet & Gateway
System #3 Static IP, SubNet & Gateway
System #4 Static IP, SubNet & Gateway
System #5 Static IP, SubNet & Gateway
FTP Address
SMTP server Address
LDAP Server Address
IPX/SPX TYPE
IPX/SPX ChoiceBindery Context
NDS
Object Name
Admin Support
List special software & versions used
List special applications & versions used
Comment/Question

* Required