Modular Document Solutions - Network Site Survey

Account Information

Company:
Address 1:
Address 2:
City:
State:
Zip:

I have:

LAN Administrator on site
Independant Contractor
I don't have LAN Adminitstrator

Contact Name:
Title:
Phone:

LAN Contact:
Phone:
Email:

MDS Account Executive:

Product Information

Sharp Model:
(55 pages per minute and higher require a 20 Amp plug)
I want network printing:

Network scanning and other utilities to install (check all that apply)

Print Monitor: a workstation utility that allows each user connected to a Sharp device to monitor the status of their job. It also notifies them when a job has been completed. This product is not available for Mac.
Scan to Email: This function gives you the ability to scan documents and send them to people via email. It does require that you create an email account for the Sharp Imager on your email server, as to provide authenticated SMTP transmission.
Scan to Desktop: This function gives you the ability to scan documents and send them back to your PC for use in a variety of applications. This function requires the installation of SharpDesk on the workstations. The number of included SharpDesk licenses varies by model. SharpDesk is not available for Mac.
Scan to FTP: This function gives you the ability to scan documents and send them to other computers via the File Transfer Protocol (FTP). This is a useful tool to integrate third party applications with Sharp Imagers. It does require that the receiving computer or server have FTP services enabled and users set up.
Scan to Network Folder (SMB Protocol): This feature is available on MX series only. It allows the Imager to send a scan directly to a folder on the network without requiring additional software or FTP.
Automated Meter Reads: Your meter reads can be sent directly to our billing department and avoid those annoying phone calls. We automatically send the email to meters@modulardocument.com.
If you would like an additional email to receive these, please indicate that address here :
Please note: this function may not work due to network restrictions.
PC Fax: this utility installs as a print driver and allows users to send faxes from their PCs (if the fax option is installed)
Inbound Fax Routing: This feature is available on the MX series only with the fax option installed. This can be setup to allow faxes to be routed to an email address based upon the number of the incoming fax.

Operating Systems (check all that apply)

Workstations:

Vista
XP
2000
95/98
Mac OS X
Other:

Servers:

2003
2000
NT
Mac OS X
Other:

Network Information

LIVE Network Port available for Imager connection? Yes No
Do you have the correct type of cable to hook up the Imager to your network and is it long enough? Yes No
Network type: LAN WAN Peer to Peer
Workstation IP Addressing: DHCP Static IP

Please provide the IP address you wish to assign to the Imager

IP Address:
Subnet Mask:
Gateway:

Network protocols used:

TCP/IP (LPR port must be available for TCP/IP)
IPX/SPX
Ether Talk
Other:

Printer is to be connected to: number of workstations
number of servers

Internet and Email Connection Information

Primary DNS Server:
Secondary DNS Server:
Domain:
My Email server is: Hosted internally Hosted externally
Primary Email Server:
Secondary Email Server:
We use LDAP Global Address Book:

If your SMTP or LDAP servers require authentication, we will require a valid username and password for these functions to operate correctly.

Information For Scan Server Connections

For scan to Email/File/Desktop to be setup we will need to know the following:

Users have administrator rights on their local machine
There are network permissions that prohibit file and print sharing
Our firewall prohibits anonymous SMTP server access
There are file size restrictions on our Email server

Additional Instructions for Install

Liability Waiver: All work was completed by customer’s IT Staff

I (client representative) am authorized and consenting to allow MDS Integration Specialist to work directly on all necessary hardware and software without liability on the Integration Specialist or Modular Document Solutions for the supervised work performed at my location during the installation of our new multi-function device.

Date:
Name:
Title:

Signature:

Scope of work agreement

Modular Document Solutions (MDS) intends to provide our customers with the highest achievable quality products and services during the execution of your connected product installation. This “Scope of Work Agreement” provides a complete explanation of the project and details all of the items to be completed by each party. MDS is not responsible for PC/Server configurations, maintenance or troubleshooting issues unless directly related to the installation of your printer.

Client Responsibilities:

Fill-out and return the Equipment Survey to your MDS Account Executive.
Provide a tested network port near the Copier/Printer.
Provide a tested patch cable to reach from network port to Copier/Printer, or a printer cable for a stand-alone installation.
Ensure that an IS staff member or equivalent will be available during the entire installation process. (If no one is available or if you would like a qualified MDS IS technician to work directly on your hardware/system, please sign the «Liability Waiver» section.)
Please note internet based emails (hot mail, yahoo, etc.) may not allow scan to email. MDS offers the opportunity for client’s to use our server for email purposes at an additional fee.

MDS´s Responsibilities:

Your equipment will be setup and pre-tested before delivery to your location unless requested otherwise.
Your equipment will be delivered and setup to the location of your choosing and retested to verify system integrity.

MDS´s IS/IT Department´s Responsibilities:

Connect the Copier/Printer to the network port with provided patch cable.
Configure the Copier/Printer for the appropriate network or PC environment.
Train (1) client IS staff member on server setup and configuration.
Train (1) client IS staff member on (2) workstation printer setup and configuration.
Train (1) client IS staff member on the use of the print driver in a “Train the Trainer” format (approx. 1 hour)
Generate a server and (2) workstation printer test pages.
Analyze your Equipment Network Survey responses and explain any possible limitations and/or configuration recommendations.
Installer agrees that information viewed is Confidential and may not be disclosed without consent unless ordered by law.

MDS Printing Support:

MDS wants to ensure that your new printing environment exceeds your expectations. Your MDS installation entitles you to 30 days of conditional printing support from the installation date of your new copier/printer, provided that your network environment had not changed as defined in your initial Network Survey responses. Simply call our dispatch center whenever you have a printing symptom that you cannot resolve. If your printing issue is not ultimately printing related, MDS will provide a recommendation outlining possible courses of action for your IS staff. After 30 days, you are still entitled to phone and hardware support should any printing issues arise. If printing is a top priority in your organization, additional blocks of Printing Support Time may be purchased separately providing you with continuous printing support. Additional work outside the scope of this agreement may be provided on a time and materials basis at MDS´s discretion and at current rates.

Customer Acceptance of Scope of Work Agreement:

Date:
Name:
Title:

Liability Waiver:

I (client representative) am authorized and consenting to allow an MDS Integration Specialist to work directly on all necessary hardware and software without liability on the Integration Specialist or Modular Document Solutions for the SUPERVISED work performed at my location during the installation of our new copier/printer.

Date:
Name:
Title:

Authorization and Release

To the best of my knowledge the information provided is true, accurate and complete. I authorize Modular Document Solutions to process all information contained herein.

By checking the “I Agree” box, you certify that you have read and understand the above statements and verify the selections are complete and accurate. This check represents your signature for confirmation and acceptance purposes. Please check “I Agree” and click the “Continue” button.

I Agree

Modular Document Solutions - Orlando, Tampa, Jacksonville, Tallahassee, Ft. Myers

Support

Request Info

Network Site Survey

Account Information

Product Information

Operating Systems (check all that apply)

Network Information

Internet and Email Connection Information

Information For Scan Server Connections

Additional Instructions for Install

Scope of work agreement

Client Responsibilities:

MDS´s Responsibilities:

MDS´s IS/IT Department´s Responsibilities:

MDS Printing Support:

Word Verification

Authorization and Release