Template: ARIN-NET-END-USER-4.1
**  As of February 2007
**  Detailed instructions are located below the template.

01. Prefix Length Requested:
02. Org ID:
03. Org Name:
04. Network Name:

** OPTIONAL FIELDS
05. Origin AS:
06. Hostname of DNS Reverse Mapping Nameserver:
06. Hostname of DNS Reverse Mapping Nameserver:
07. Tech POC Handle:
08. Abuse POC Handle:
09. NOC POC Handle:
10. Public Comments:

END OF REGISTRATION SECTION

JUSTIFICATION SECTION
11. List all upstream providers and peers.
     
12. List all IP address blocks in use in your network today.

13. Briefly describe the products and services your company offers.

14. Provide a complete numbering topology detailing how
    you are currently utilizing both public and private IP addressses:

     --------------------------------------------------------------
     IP address/subnet       description      # of addresses in use
     --------------------------------------------------------------

15. Indicate the number of new hosts will you be numbering in the 
     next 12 months.

16. Provide any additional information for ARIN to consider.

END OF TEMPLATE

If you would like assistance completing this template, please do
not hesitate to contact ARIN's Registration Services Help Desk
at +1 (703) 227-0660. We'll be glad to help you!

ARIN charges a transaction fee and/or a yearly registration fee for
all approved requests for IP addresses. For more information, see:
      http://www.arin.net/billing/fee_schedule.html#ipv4_assign

-----------------------------CUT HERE ---------------------------

TEMPLATE INSTRUCTIONS:

Please copy and paste the text-based template into the body of an
e-mail and send to hostmaster@arin.net with the subject line, "END
USER IP REQUEST". 

Please ensure your e-mail client sends ARIN the message as plain 
ASCII text, not as HTML.

Please do not attach the template.

You are welcome to attach any supporting documentation.

IMPORTANT NOTE: Do not remove or modify the template header, i.e. 
the line beginning with "Template:" or the footer, i.e. "END OF 
TEMPLATE". Both are required for processing.


01. List the amount of address space you wish to request. This
    should be /22, /21, /20, or greater.

02. Enter a registered ARIN Org ID. If you are unsure of your Org ID
    please search for your organization's name in ARIN's WHOIS
    database.

03. Indicate your organization's legally registered business name.

04. The network name is used as an identifier. Supply a short name
    consisting of a combination of up to 50 letters and/or numbers 
    for the network. You may use a dash (-) as part of the network 
    name, but no other special characters, such as periods or 
     underscores.


OPTIONAL FIELDS:

05. List all AS numbers from which the requested network may 
    originate. You can list as many AS numbers as necessary. 
    You must separate multiple AS numbers with a comma. You may 
    not list AS number ranges; only list individual AS numbers.

06. Provide fully-qualified host names for the servers that will be
    providing in-addr.arpa name services. DO NOT LIST IP ADDRESSES.

    Networks should provide at least two (but not more than
    thirteen) distinct nameservers for providing address-to-name
    mapping for hosts in the network. To specify more than two,
    duplicate field 06. for each additional server. Do not list
    multiple servers on a single line.

07. Indicate the ARIN POC handle of a contact responsible for the 
    technical aspects of maintaining the IP address space. The
    technical POC may make modifications to the assigned block.

    Please note your Org ID already has a Technical POC which will,
    by default, appear on the resource registration record. 

08. Indicate the ARIN POC handle of a contact responsible for 
    handling operational aspects of the acceptable or appropriate 
    uses of the assigned network. The abuse POC may not make 
    modifications to the assigned network registration.

    Please note your Org ID may already have an Abuse POC which will,
    by default, appear on the resource registration record.

09. Indicate the ARIN POC handle for your NOC. The NOC POC may
    not make modifications to the assigned network registration.

    Please note your Org ID may already have an NOC POC which will,
    by default, appear on the resource registration record.

10. If there are any comments you would like publicly displayed in 
    ARIN WHOIS regarding this assignment, detail them here.

    Suggested comments are:
       Public Comments: http://www.example.net


JUSTIFICATION SECTION:

11. List all networks from whom you purchase transit or with whom
    you exchange peering information. You may list these as 
    organization names or AS numbers.

12. Indicate all IP address space in use in your network today.
    The IP address space in this field should be explicitly 
    reassigned or registered to you in ARIN's WHOIS database or 
    a public RWhois server. You may also list private IP addresses
    in use in your network if they are relevant to your request
    for public IP addresses.

13. Briefly describe the products and services your organization
    offers.

14. Please provide a comprehensive numbering topology, accounting
    for every IP address in use in your network today. ARIN staff
    will use this chart to determine if you meet the minimum
    criteria for requesting IP address space from ARIN.

15. Indicate how much additional address space you project to use
    in your network during the next twelve months. Please express 
    your needs as either a raw number or in units of /24.

16. Use this section to provide additional information to ARIN.
    If you are attaching any supporting documentation to your
    e-mail, please indicate this here.