Computer System Needs Analysis/Quote

This form will help you understand what is possible for your new system and for us to understand exactly what you require from your new system.
  1. Your Details:
    First Name
    Last Name
    Organisation
    Job Title
    Street Address
    Address (cont.)
    Town
    State
    Postal Code
    Phone
    FAX
    E-mail
  2. What type of system do you want us to quote on?
         
     
  3. What computer components/specification do you require for your new system?
    Processor
    Processor Size
    RAM
    Hard Drive 1TB
    Operating System
    Monitor
    Video
    Sound
    Optical Drive
    Modem
    Network Card
    Other/Comments

  4. Do you want us to provide a quote on a Printer, Scanner or other peripheral hardware?
    Yes No

  5. If so, what Peripheral would you like a quote on?
    Printer  Scanner  Other
     
  6. Do you wish to purchase additional Software?
    Yes No

  7. If so, what Software would you like?
    QTY DESCRIPTION
    
              
  8. Are you currently connected to the Internet?
    Yes No

  9. If so, are we required to connect your new system to your current Internet Service Provider and can you provide your connection details i.e. Provider's Name, Connection Telephone Number, POP Server, E-mail Address?
    Yes No

  10. Are you currently connected to an Office/Home Network?
    Yes No

  11. Would you like us to prepare your new computer for your Office/Home Network?
    Yes No

  12. Do you require Standard or Extended Warranty?
    Standard
  13. Do you have the appropriate furniture for your new system (e.g. Desk, Chair) and if not would you like to talk to one of our helpful sales representatives?
    Yes No

  14. Are we required to install the system at your location?
    Yes No

  15. Will training be required at installation?
    Yes No

  16. If Installation is required, what is the Address of the installation site?

  17. Do you require us to attach existing peripheral hardware to your new system? e.g. Printer, Scanner, External Modem etc.
    Yes No

  18. If so, please tick requirements
    Printer         Scanner         External Modem  Other        

  19. Can Driver software for the above peripherals be supplied by you?
    Yes No

  20. Do you require us to install any of your current software?
    Yes No

  21. If so, do you have at least 2 verified backups of your current data and undamaged installation disks?
    Yes No

  22. Are there any other comments or additional information we need to know?

  23. SIGNED

  24. DATE -- dd/mm/yy


Copyright © 2001 [Emerald Office Supplies]. All rights reserved.
Revised: 10/15/03