Nortec NHTC, NHPC manual Nortec Online Configuration Form, For Your Information Response Requested

	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: ____________________

Desired NORTEC Online Connection Type:

‰Static IP connection

‰DHCP (dynamic IP)

‰GPRS connection

‰Dial-up modem connection

Sales Order Number: ____________________

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:		____________________
Humidifier Ordering
Humidifier		Unit	Desired Unit
Model/Size	Designation		Order
			Lead Humidifier
			Unit 1
			Unit 2
			Unit 3
			Unit 4
			Unit 5
			Unit 6
			Unit 7
			Unit 8

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.

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: ____________________

Figure 31. NORTEC Online Configuration Form

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