Network Setup and Delivery Questionnaire

Please complete the form below


Current IT Provider (required)
In-house employeeOffsite HourlyManager Services ProviderNone

What type of connection will this device be using? (required)
USBWirelessWired Ethernet

Is there a live connection available located near where the machine will be installed? (required)

What type of power outlets do you have available at the location of install? (required)
115 VAC / 15 Amp115 VAC / 20 Amp120 VAC / 20 Amp208 VAC / 20 Amp220 VAC / 20 Amp220 VAC / 30 Amp

How will the area where the machine is to be installed be accessed? (required) StairsElevatorRampFirst floor

If this is a replacement device, will any of the following need to be copied from the old device to the new one? (required)
IP AddressAddress BookScan to Email SettingsN/A

If scanning is desired, please select scanning method(s) below. Scanning can not be configured without this info. (required)
Scan to file or folderScan to emailN/A

If scan to email is desired, who is your email provider? (required)

How will you be sending faxes? (required)
Fax from PCFax from MFPN/A

What platform are you using for digital fax from PC? (required)
Email to faxStandalone cloud faxTraditional phone lineN/A


1263 E New Circle Rd.
Lexington, KY 40505
(859) 294-3911

1920 Nelson Miller Parkway
Lousiville, KY
(502) 244-1516

3160 Parisa Dr
Paducah, KY
(270) 441-7345

325 South Earl Ave
Lafayette, IN 47904
(765) 449-8652

6050 Corporate Way
Indianapolis, IN 46278
(317) 475-9519