DCSERVER ORDER FORM
Please Fax this page to 03 9807 8600.
*Mandatory Fields

Step 1 - About your Organisation
Organisation*:
Trading Name*: i.e. DCLABS Pty Ltd
Short Name: i.e. DCLABS
ACN:
ABN:

Step 2 -  DCSERVER Site Location

Address*: 
City*:  State:   Postcode*
Country*:
Contact   Title: First : Last:
Email :  
Phone*:     F ax:
Dedicated Phone Number that DCSERVER would use (If Known):   

Step 3 -  IT Support (If Applicable)
Do you have existing IT support?  If Not, then skip IT Support section
Contact :
Organisation :  (If Applicable)  
Phone:   Fax:
Mobile:
Email 

Step 4 -  Internet Addresses
Total Number of PCs located at customers premises 
Initial Email Account Users (These may be added later by you if you wish)
Examples: Name  -  John.Smith or jsmith ,  Password (between 4 and 16 chars)
Name #1 Password #1
Name #2 Password #2
Name #3 Password #3
Name #4 Password #4
Name #5 Password #5

Step 5 -  Prefered Internet Domain name (i.e. www.CROWTECH.com.au) 
I already have a domain name that I wish to re-delegate to the DCSERVER which is   otherwise I wish to select a new domain name:
First Choice:  www.  
Second Choice: www.  

Step 6 -  Preferred  Networking Selections (If already available)  
Preferred local IP address of DCSERVER e.g 192.168.0.1
Preferred External IP address of DCSERVER  e.g 203.36.200.177
Preferred External IP network of DCSERVER  e.g 203.36.200.176/28 (16 IP Addresses)
Preferred Gateway IP Address e.g 203.36.200.178  
Remote PPP IP Address e.g 139.130.3.2
Local PPP IP Address e.g 139.130.3.214

Leave web site on existing ISP?  

Step 7 - Windows Networking (Skip this step if you are unsure)
Preferred Network Neighbourhood/Host  name of DCSERVER (e.g:dcserver)
Windows WORKGROUP/DOMAIN name (e.g:WORKGROUP)

Step 8 - Equipment
Please total and or select  the equipment  you wish to purchase.
Equipment Order
DCSERVER DCSERVER DCSERVER BM PRO DCSERVER BB PRO
Hard Disk Size 40G (standard) or Upgrade to
RAM Size 256 Mb (standard) or Upgrade to
Uninterruptible Power Supply¹
15" Monitor¹
Mouse¹
Honeywell Keyboard¹
CDROM Drive
External Modem ¹
4 Dialin Internal Modem¹
8 Dialin Internal Modem¹
10/100 Network Hub¹
Twisted Pair (CAT5) flylead 10m¹
Normal Phone - 33.6K/56K¹
ISDN - 64K ¹
ISDN - 128K¹
ADSL - 256K/1.5M¹ (if yes, please specify the provider )
Cable - 256K/1.5M¹ (if yes, please specify the provider )
Radio - 2M¹
 ¹ :These items are not necessary for DCSERVER operation.

Type of internet connection : Dial Up ADSL Cable ISDN Other
Preferred Provider

Step 9 - Outage Alert Details 

(Messages are sent to these sites when DCSERVER outages are detected through our monitoring).
Alert Phone Number:
Alert Fax Number:
Alert Email (You may choose your new domain):

Step 10 - Other comments (i.e. extra serial ports, No existing network , ...)

Do you have a thin Ethernet network?
(Hint  .... are your PCs connected by a black cable?). If so then the DCSERVER shall be fitted with a standard 10MBit/s network card for compatibility purposes instead of the 10/100 MBit/s twisted pair network card.

Title of equipment remains with DCNUT Pty Ltd until payment is received in full. Cheques may be made out to "DCNUT Pty Ltd" PO Box 1018, Ashwood, VIC, 3147. Bank deposits may be made under arrangement with Sharon Crow - 03 9807 8600