Simple Scan Information Request

Thank you for your interest in Synergize Simple Scan. Please complete the following form and someone from our support team will contact you to discuss options for acquiring Simple Scan.

Connection: Please indicate the type of connection your scan station/s
currently have with your Synergize Server.

	FTP
	LAN

Scanner Interface: Please specify your current scanner driver configuration.

	Kofax VRS		VRS Version:
	TWAIN
	ISIS

Other Indexing Information: Please check off any of the options that apply to your current
indexing processes

	Unattended Indexing
	Indexing with Bar Code Recognition
	Indexing to Workflow Queues

Scanners: Please indicate what devices you currently use

	Make:
	Model #

                                                             Please indicate how many of your locations are currently
                                                             scanning
                                                               Scanning Locations

Contact Info:

                                                                Full Name
Company
Email
Telephone
Best Time to Contact EST

Comments:                                         Please feel free to include any additional comments in this
                                                              regard



Please note this is not a support request. To request support please contact support@microdea.com

	Full Name
	Company
	Email
	Telephone
	Best Time to Contact	EST