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Network Check-Up Agreement Form
Please complete the form below to schedule your free Network Check-UP with Systel.
1
Start
2
Complete
Customer Name
*
Address
*
City
*
State
*
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Marianas Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zipcode
*
Contact Name
*
Phone Number
*
Email
*
Who is your Systel Account Manager?
Does your company have a Windows Server or a Workgroup Server?
*
- Select -
Windows Server
Workgroup Server
I don't know
If Windows Server, is the server hosted onsite or remotely?
*
- Select -
Onsite
Remotely
Would you like to be contacted for more information about Network Check-UP?
- None -
Yes
No
If Windows Server, do you have admin credentials?
*
- Select -
Yes
No
If Workgroup Server, how many PC's are connected?
*
Does your company have multiple locations?
*
- Select -
Yes
No
Are all locations connected?
*
- Select -
Yes
No
If "yes" to the previous question, how are all locations connected?
*
Does your company have contracted IT?
*
- Select -
Yes
No
Do any of your employees work remotely?
*
- Select -
Yes
No
Are there any Mac's in the work environment?
*
- Select -
Yes
No
Current Operating System:
*
Questions or Comments
Agreement Terms
*
ACCEPT- I grant Systel consent to access my network, install software and necessary components, and collect data without liability.
DECLINE- I do not wish to receive Systel's free Network Check-UP assessment.
Customer acknowledges that this network assessment tool is being provided at no charge by Systel during the 90 day promotional launch period. As the undersigned, I represent and warrant that I have the authority to authorize and bind the above named customer in this agreement with Systel Business Equipment Co, Inc. for network assessment services. Customer consents and authorizes Systel to access the network, install the software and necessary components, and collect data without liability on customer’s network. Customer must make available any necessary workstations, servers, or network drives available at the predetermined time of the network assessment.
Submit
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