New Device Setup Form New Device Setup Request The intent of this form is to gather information about how you would like your device to be configured so that once it arrives, everything works as needed for your organization. Your Company* Primary Point of Contact (Full Name):* Email address:* Device type:*DesktopLaptopSmartphoneOther What would you like to name this device? (eg. Kim- Accounting, Brad-Iphone) * This device is:*New, in boxAlready openedRepurposed What is the current password on it? Will this device be enrolled into an Active Directory? YesNo What is the domain name? What user accounts would you like added to this device? UsernamePasswordAdmin or Standard User What security services will be added to this device? (select all that apply)*Total Security ProtectionMulti-Factor Authentication for logonSecurity Operations Center Monitoring (SIEM)Leave device unprotectedOther Software & Applications - Customer must provide all installation media & licenses for software requested.Software / Application / Web AppLicense / Product Key / Website Peripherals & Network DevicesDevice (e.g. NAS, webcam, shared folder)IP Address or USB Printers & ScannersName (e.g. Upstairs Printer)Manufacturer / Model Cloud Storage Provider (e.g. Dropbox, OneDrive, Google) Any additional configuration information or requests: I certify that I am the owner of the computer or device being presented for technical service. I understand that no verbal or written warranty, expressed or implied, is offered on the services rendered by Cylanda. By accepting these services I agree that Cylanda cannot be held responsible for any damages to hardware or software resulting from this service. Furthermore, Cylanda will not be liable for future damages or hardships resulting from any part of the services provided. I give authorization to the Seress, LLC dba Cylanda ("Cylanda") staff to open my computer for servicing. I understand that the Cylanda staff members may not be manufacturer certified service technicians. I agree to release, indemnify and hold harmless any agent of Cylanda from liability for any claims or damages of any kind that may arise from servicing my computer or device. I also understand that the hardware is my property and that Cylanda is not responsible for its maintenance or repair. I understand that the backup of any necessary data is my responsibility. Cylanda will not be held responsible for the loss or corruption of any data or application resulting from services rendered. I expressly waive all claims against Cylanda for any damages to the hardware or software of this computer that are incidental to the technical service rendered by Cylanda. I hereby authorize Cylanda to perform these services. In consideration for the services provided by Cylanda, I understand and agree to the terms and conditions stated above. *I agreeSubmitReset
