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MFP Installation Form
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MFP Installation
Sales Rep:
Branch:
Sales Rep Email:
Customer Information
Customer Name:
Contact Name:
Contact Phone:
Alt. Phone:
Fax:
Email Address:
Address:
 
City:
State/Region:
 Zip/Postal Code:
Network Information
Open Network Drop?
 Yes:   No:
Do they have on-site IT?
 Yes:   No:
Do they have a server?
 Yes:   No:
Number of Workstations to Setup:
Does FM Audit need to be installed?
 Yes:   No:
MFP Information
Make/Model:
Delivery Date:
# of MFP's:
# of Controllers:
Scan to Folder?
 Yes:   No:
Scan to Email?
 Yes:   No:
Any Additional Notes:
Verification Image:
Enter Verification Image:
  (only 6 lower-case letters)



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