Note: If your organizationalready has IP space assigned, you must utilize 80% before applying for more IPspace.
Please use the space provided to describe why you require thenumber of IP addresses requested. Pleasealso indicate whether you are conserving address space using addresstranslation.
Set up VPS . I will conserving address space using address translation.
Please complete a network table to show you have used any existingIP assignments, and show predicted future growth of your network.
SAMPLE
IP Range
SubnetMask
Max
Now
3 mo
Description
74.91.x.0
255.255.255.224
29
8
12
SSL based websites
74.91.x.1
255.255.255.240
13
10
13
Multiple website hosting
74.91.x.2
255.255.255.0
253
203
250
Client VPS
Use the following Network Table to describe your IP assignmentstoday and in three months. Expand thetable as necessary to accommodate your requirements. THISIS REQUIRED!
IP Range
SubnetMask
Max
Now
3 mo
Description
Include a list of all Domains that will be used on this server:
I verify that I am authorized to represent the organization belowand that the above information is true and correct. I understand that Internet Protocol Version 4address space is limited and that users of the Internet are responsible forconserving address space and ensuring that space is utilized efficiently.
Print Name:
Title:
Organization:
Phone# (day):
Email:
Fax:
For Internal Use Only:
Customer: Order Number: Customer Network