Technology Site Survey

Please use the below Technology Site Survey form and an UBEO rep will get back to you promptly.

Company Name *

Department *

First Name *

Last Name *

Street Address *

City *

State/Region *

Company Phone Number

IT Administrator Contact Name

IT Contact Phone Number

IT Contact Email *

UBEO Equipment ID No. (If this is for an existing device, please enter the number found on the UBEO Equipment ID sticker.)

Do You Want to Use DHCP?

Do You Use MAC Blocking?

TCP / IP Address

TCP / IP Subnet

TCP / IP Gateway

Primary DNS

Secondary DNS

Network WINS

Domain Name

Would you like automated meter reads? *

Will the New Device Be Connected to a Wireless Network?

Are You Installing on a Print Server or Installing Locally?

Multifunction Document Options Desired

(Select/Deselect All)

Facsimile

Document Server

The installed device will require full access rights to the scan folder. A network username will be needed. The suggested account is "savin" and the suggested password is "copier".

(Select/Deselect All)

Scan Documents to Folder

Scan Documents to Email

Geo Location

IP Address

Are you human?