Simple IP Justification Form

Host NIT Inc

Simple IP Justification Form

Please return to support@hostnit.com / Subject: IPJ

 

Date:

Customer Name:

Address:

City:

State:

Zip:

Country:

Phone:

Email:

ARIN Orig ID:(if you have one)

 

Are the requested IPs for a dedicated server or for colocation?

 

Colocation Questions:

 

            Do you already have IP addresses which have been assigned by Host NIT Inc?

 

            Do you already have IP addresses which have been assigned by another provider?

 

            Please list the network ranges which have been assigned by other providers:

 

 

 

 

 

 

            Do you plan to replace existing IP addresses with your new addresses?

 

            Please specify a completion date for range replacement:

 

 

General Questions (for colocation, dedicated servers and VPS):

 

            How many useable IP addresses are you requesting at this time, in total?

 

            How many IP addresses will you be placing into immediate use?

 

            How many IP addresses will you have used within 3 months?

 

            How many IP addresses will you have used within 6 months?

 

            If you are not using Private Addressing, please specify which services you will be offering that require unique external IP addresses

 

 

 

==================================================================

 

Please complete this section if you are requesting IPv4 address space.

Provide detail about projected usage for the IPv4 address space you are requesting. See the instructions at the end of this document for a detailed example.

 

Planned Usage for Requested IPv4 Address Space

 

 

Number of Hosts

 

Network

Subnet Size

Max

Now

3-mo

6-mo

Description

Example:

 

254

128

150

230

Campus Network

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

 

     

     

     

     

Totals

 

 

 

 

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