Fisher's Install Survey Install Survey - ID/UT Please help us prepare for your install! "*" indicates required fields 1Submitted By2IT Contact3Devices4Print5Scan6Fax7Email8Data Submitted By: (Your Business Name)*Name* First Last Email* Phone*Address* Street City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zipcode Are you the IT Contact?* Yes No New IT ContactFull Name* First Last Email*Phone*Will The IT Contact Be On Site?:* Yes No Device InstallIf we are installing multiple devices at this location, add a new row for each device.Static IP address to be assigned:*Per Device*Click + to add more devices.Subnet MaskGateway AddressDNS AddressDomain Name Add Remove Print* Yes No Print Driver Installation:*If Locally, How Many Computer's Will Fisher's Configure?:*User Account Code For Copy And Print:* Yes No Please Supply A Full List of Users And User Codes:* Scan To Folder (SMB):* Yes No Scan To Folder Path (Hostname or IP/File Path):*Is Scan Folder Path On A Network Drive?:* Yes No Server Username:*Server Password:*Scan To Email* Yes No Faxing* Yes No Fax Number*Fax Forwarding Destination:*Fax From Computer:* Email SMTPSMTP Server Name:*Security?:*Choose...OnOffSSL/TLSSTARTTLSSMTP Server Path:*Server Port?:*SMTP Authentication Username:*SMTP Authentication Password:* Is data collection agent being installed to automatically track meter counts?*If no, our team will be required to regularly contact you in order to manually obtain meter readings. Yes No Is Data Collection Agent Being Installed Locally, or on a Server?:*What Is The Name Of The Computer/Server Where Data Collection Agent Will Be Installed?:* Δ
