Ashley's Digital Business Solutions will configure your new copier/ printer/ scanner/ fax with information provided below. The following information will be used specifically for the purpose of assisting in the configuration and integration of your new digital MFP into your network environment and will not be available to anyone else for any other purpose. Please  fill out the form below. Thank you. *Required Fields Company Contact Information Company *First Name *Last Name Phone Number () *Email Address Address City State Select a State Ontario Quebec Nova Scotia New Brunswick Manitoba British Columbia Prince Edward Island Saskatchewan Alberta Newfoundland and Labrador Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces - AE Armed Forces - AP Armed Forces - AA N/A Postal Code Network Administration Information Network Admin. Name Net Admin Phone Net Admin Email Network Admin on-site? No Yes Current Network Environment OS's you print from? IBM AS/400 LInux/ Unix MAC Other Windows 2000 Windows 98 Windows NT 4.0 Windows Vista Windows XP Current Print Server OS ? Novell Other Windows 2000 Windows 2003 Primary Printing Applications *Is there a live network connection available and near the MFP? No Yes MFP Configuration Information *Available IP address for the MFP *Subnet Mask *Gateway Address *Primary DNS Server *Secondary DNS Server *Email Server Name or Address Email Authentication Password Email Authentication Username

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