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SITE SURVEY FORM Vanco Systems Date: An Authorized Toshiba Dealer Contact Info Please provide information about the persons involved in the installation: ( Customer Network Administrator Name Customer Purchasing Contact Name Toshiba Dealer Network Contact Toshiba Dealer Sales Representative Operating Systems ) - ( ) - Phone Number Fax Number ( ( ) - ) - Phone Number Fax Number ( ) ( - ) Fax Number ( ( ) - ) E-mail Address - Phone Number Phone Number E-mail Address E-mail Address - Fax Number E-mail Address Please provide approximate # of users who will connect using each of the following (not Network Servers): Windows XP Windows 2000 Windows NT4, 3.51 Windows Me, 98/95 Mac OS X Mac OS 9 Mac OS 8 DOS *Unix *AS/400 *Citrix Metaframe *Other *Additional Information Required (Please detail version/flavor or different O/S used): Network Servers Please check the appropriate box(es) for the network server type that the copier controller will attach to: Windows 2000 Advanced Server/Server/Terminal Server Windows NT 4,3.51 Server/ Terminal Server Novell Netware 5.x Novell Netware 4.x Windows Peer-to-Peer Novell Netware 3.x Network Cabling *Lantastic *Banyan Vines * Peer to Peer Network Only Please check the appropriate box for the network cabling used to attach the copier controller: 10 Base –T / Twisted Pair 10 Base – 2 / Coaxial / Thinnet 4MB - Token Ring 100 Base – T / Twisted Pair 10 Base – 5 / Thicknet 16MB – Token Ring 3 rd Party Devices (Please provide additional information): Applications Please check the boxes for applications in use in your organization: PC: Mac: MS Office XP, 2000, 98/97, 95 MS Office v. X, 2001, 98/97 Adobe Desktop Publishing Software Adobe Desktop Publishing Software Corel Desktop Publishing Software WordPerfect 2000, 9, 8 Corel Desktop Publishing Software Quark Express Accounting Applications Financial Applications Reporting Applications WordPerfect Suite Reporting Application Other: Other: Other: Other: Other: Windows 2000/NT Network Info Only fill out this section if the copier will be connected to a Windows 2000/NT Network IP Addresses Are: Assigned by DHCP Administrator Assigned (Static) WINS is used for Resolution Other: Copier Controller will require a static IP address to connect: Controller IP Address: Subnet Mask: Gateway Address: Novell Netware Network Info Only fill out this section if the copier will be connected to a Novell Network Frame Type: 802.2 802.3 Ethernet_II Ethernet_Snap Auto Network Architecture: Novell Directory Services (NDS) Macintosh Network Info Novell Directory Print Services (NDPS) Bindery Only fill out this section if the copier will be connected to a Macintosh Network Protocol: AppleTalk Windows Peer-to-Peer Info AppleTalk Zone Name: EtherTalk Only fill out this section if the copier will be connected to a Windows Peer-to-Peer network Please verify that the following are installed on each PC to be connected to a copier controller: And / Or NETBEUI Protocol Client for Microsoft Network Service And / Or IPX/SPX Protocol Network Card installed in PC TCP/IP Protocol I can browse the network on each PC Note: The installing dealer can install network cables, network cards into client PCs, network protocols or perform general network troubleshooting in areas not pertaining to installation of the network printer/copier for an additional fee. Network Architecture: Please use the space below to draw your current network architecture. Include bridges and routers in use. Copier/Fax/Printer eStudio 16/20/25 Please select all interested connectivity products (Machine → Options; view left to right) FAX Kit PCL Kit NIC Kit I-FAX/Scan-to-Email Kit ImageVision eStudio 28/35/45 GL1010 Scan/I-FAX Kit PC/LAN FAX Kit GA1040 PS3 Option PS3 w/ HDD Option eStudio 55/65/80 SC-2 GA1110 Tandem Scan to File Scan 2 E-mail DP80F/85F DP120F/125F ImageVision PCL Kit NIC Kit I-FAX Kit ImageVision LP2500/3500 10/100 Base T NIC 10 Base T/2 NIC Token Ring eStudio 30P/40P Customer Name (Print): _________________________ Signature: ______________________________ Date: ____________