Dean's Office Machines: Service Call

Sales Rep:		Delivery Date:
Toshiba Prod:		Controller/Enabler:
Serial Number:		Fax Board:

Account Information
Account Name:		Contact:
Street Address:		Phone:
City/State/Zip:

Network Administrator Please Fill in Completely Please Note: Dean’s Technicians will NOT install software on a Customer’s server without the Network Administrator or a representative of the Customer’s IT Department present.
Network Administrator:		On Site?:
Phone:		Email Address:
Is there a Live Network Drop and Patch Cable for Copier?
If “No”, ETA?
For copiers above 45 Copies per Minute is there a 20amp (NEMA 5-20) outlet?
If “No”, ETA?
Is (Protocol/Topology/Media) other than (TCP/IP/Ethernet/ 10/100 Based-T) being used?
If above is answered “Yes”, please list:
List Server Version being used:

How many Workstations will connect to copier? List quantity of each Client below: NOTE: Above 3 units, a fee of $35.00 per unit MAY apply. Misc. fees may also apply for services rendered beyond the normal networking responsibilities.
Win 95/98:		Win NT:
Win 2K:		Win XP:
Win Vista:		Win ME:
	Other (name and quantity):

IP Address for Copier:
Controller IP (Copier):
Subnet Mask:
Gateway:

Will you be utilizing?
Scan to File		Scan to FTP
Scan to Email		Fax Forwarding (To Network Destination)
Scan to E-filing		Desktop Faxing (From Client)

*Exceptions are down equipment under contract. Those calls will be prioritized accordingly.