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2008-10-01
NORTEC ONLINE CONFIGURATION FORM
Please complete the information below.
Attention: Date:
Company: Fax #:
From: Page: of
Subject: NORTEC Online Information
G FOR YOUR INFORMATION G RESPONSE REQUESTED
Agent P.O. Number: ____________________ Sales Order Number: ____________________
Desired NORTEC Online Connection Type:
Static IP connection
DHCP (dynamic IP)
GPRS connection
Dial-up modem connection
Settings for Static IP Connection:
Module IP Address: ____________________
Subnet Mask: ____________________
Default Gateway Address: ____________________
Primary DNS: ____________________
Secondary DNS: ____________________
Setting for GPRS Connection:
User Name: ____________________
Password/PIN Code: ____________________
APN String: ____________________
Connection String: ____________________
Settings for Dial-up Modem Connection:
User Name: ____________________
Password: ____________________
Phone Number to dial: ____________________
Be sure to include complete dial-up number string such as area code if
necessary.
Humidifier Ordering
Email Addresses for Event Notification:
Email Contact 1: ____________________
Email Contact 2: ____________________
Email Contact 3: ____________________
End User Information
Time Zone: ____________________
Company Name: ____________________
Address: ____________________
____________________
____________________
Phone Number: ____________________
Main Contact Person: ____________________
Humidifier
Model/Size
Unit
Designation
Desired Unit
Order
Lead Humidifier
Unit 1
Unit 2
Unit 3
Unit 4
Unit 5
Unit 6
Unit 7
Unit 8
Figure 31. NORTEC Online Configuration Form