Mobile Klinik Store Opening Form

Your Contact Information

Name *

Your Email Address *

Your Phone number *

Store Information

New Store *

Is this a new store?

Yes

No

Which store is this for?

Store Type

Store Address

Country

City

State

Zip code

Store Contact

Store ID *

Has the email account for this location been created? *

Yes

No

Store Email *

Training Date *

Store Opening Date *

Have you requested Samsung credentials? *

Yes

No

Credential Notifier

If the credentials have not been ordered please do so before putting in a request for a Desktop or Desktop bundle

Hardware

Desktop

A desktop comes with a monitor. wireless keyboard and mouse, and a VGA to DisplayPort video cable.

Laptop

A laptop comes with a wireless mouse.

Zebra LS2208 General Purpose Bar Code Scanner

Brother DCP-L2550DW Multi-Function Copier/Printer/Scanner

Brother QL-810 Label Printer

Networking

Sophos SG-105 Firewall

36 Month Network Protection included.

Ruckus R310 Wifi Access Point

Licensing and 36 Month Protection included

D-Link Switch

8 port POE

Patch Cable

StarTech 6ft Cat6

Monthly Services

HT Cloud Managed Wifi

1 Per Ruckus Wifi

Office 365

1 per Desktop/Laptop

HT Control

1 per Desktop/Laptop

Notes

Additional notes in regards to this request

Captcha *