Intelerad – New Customer This field is hidden when viewing the formTrustgrid CustomerFrequently Asked Questions Introduction to Trustgrid Deployment High-level Deployment Timeline Deployment Instructions for Two Nodes with One IP Interface Deployment Instructions for Two Nodes with Two IP Interfaces Lanner NCA-1513 Technical Spec Sheet Customer Name(Required)Site Name/Code(Required)Deployment Type(Required) High Availability Pair (HA) Single Device Device Type Physical Hardware Devices Interfaces on Each DeviceInterfaces on Each Device(Required) One Ethernet Two Ethernet Device InformationDNSDNS servers can be public or private but must be accessible from the 1st interface of the node.DNS 1(Required)DNS 2(Required)First DeviceIP Interface #1IP Address(Required)Subnet Mask(Required)Default Gateway(Required)IP Interface #2IP Address (2nd Interface)Subnet Mask (2nd Interface)Default Gateway (2nd Interface)Second DeviceIP Interface #1 – 2nd DeviceIP Address(Required)Subnet Mask(Required)Default Gateway(Required)IP Interface #2 – 2nd Device This will use the same network information from Interface #2 on the first device.IP Address (2nd Interface)Subnet Mask (2nd Interface)Default Gateway (2nd Interface)Cluster IP AddressThe Cluster IP must be on the same network as the IP Interface #2 interface of each device, when two interfaces are used.Cluster IP Address(Required) Stakeholder InformationThese fields need to have the name and email of your contact at InteleradContact(Required)(Company Name) Contact Email Technical Contact InformationTrustgrid may contact this person if there are any issues or questions regarding the submitted information.Contact Name(Required)Phone NumberEmail Address(Required)Shipping InfoMust be a physical addressCompany Name(Required)ATTN(Required)Shipping Information RecipientTrustgrid will send shipping information to this email address.Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code SummaryPlease, make sure that the information entered is correct before submitting it. We recommend that you save a snapshot of the data for future reference.{all_fields}Section Break Δ