SCANNING SERVICES REQUIREMENTS SURVEY 1 CLIENT INFO 2 VOLUME ESTIMATE 3 PREP 4 SCAN Sales Rep Name: Date: Client Name: Street Address: Mailing Address (if different): City: State: AlabamaMississippiTennessee Zip Code: Primary Contact: Email Address: IT Contact Name: IT Contact Email: IT Contact Phone: Previous Next Measured Filing Inches: Pages Per Filing Inch: Boxes Counted Cube: Banker-Small: Banker-Large: Previous Next BSC to provide boxes for pickup? YESNO Who will box records for pickup? CLIENTBSC Is the work to be prepped by? (if CLIENT is responsible for prep, an hourly charge will be incurred for any prep performed by BSC) CLIENTBSC Are the documents in folders? YESNO Are any fasteners or dividers used? YESNO Are documents to be returned to folders after scanning? YESNO If YES, is re-assembly required? YESNO Is there any information ON or INSIDE the file/folder that needs to be captured? YESNO If YES, please explain Are there any bound items that will require being taking apart? BindersBooksMagazines Please check all items found in documents to be scanned: StaplesPaper clipsBinder clipsSpiral-boundPost-itsOther Frequency: MinimalFrequentSignificant If YES, is re-assembly required? YESNO Are document edges frayed and/or tattered? YESNO Are there an fragile and/or torn documents? YESNO Previous Next What type of documents are to be scanned? Std. PaperCard StockPictures What size documents are to be scanned? —Please choose an option—8 1/2 X 118 1/2 X 1411 X 17Larger If LARGE FORMAT, please choose: —Please choose an option—18 X 2424 X 3630 X 4236 X 48 For BOOK SCANNING Books Are BoundBooks Are Hinged Book Size (Length x Width x Height) Documents are: (check all that apply) SimplexDuplexMixed If files contain COLOR pages, they should be scanned as: ColorB & W Type of Image requested by Client: JPEGTIFPDF MICROFORMS —Please choose an option—MicrofilmMicroficheCOM ficheAperture Cards Previous Next Δ
