System - Please tick system requirements

Lifesize Icon 600Lifesize Icon 400Lifesize Icon FlexYealink VCS400Yealink VCS110Logitech CC3000eVidyo Room HD40Vidyo Room HD230

Dates system required for (max 5 working days)

Agreed return dates

Are you a reseller?

YesNo

Your Details

Name

Job title

Company name

Address

Phone number

Locations for demo/trial

IP Service available(please circle)
ADSLSDSLLease LineInternal Network

Available bandwidth for video conferencing

Is this bandwidth used for any other services?
YesNo

Is the service uncontended?
YesNo

You should provide a fixed IP address for each system to be used in the trial/test

Will the system be able to make and/or receive calls to the public network?
YesNo

Public IP address

Internal IP address

Sub-net mask

Gateway IP address

DNS servers

Is there a firewall in place or DMZ available?(see below firewall ports required)
YesNo

Is there a spare network port in the room to be used for the demo/trial?
YesNo

Is there a power socket available in the room within 2 metres of the proposed
location for the video unit to be used for the demo/trial?
YesNo

Who will be the on-site IT contract for the demo/trial?