Cogent Communications Request for IPv4 AND IPv6 address space. See http://www.cogentco.com/Guide/IPQ_EU-Sample.txt for instructions and a sample. I. CUSTOMER INFORMATION Company Name: Order Number: Tech Contact 1: Tech Contact 2: II. TYPE OF SERVICE 1. Do you need to run BGP? [ ] No [ ] Yes please complete http://www.cogentco.com/Guide/BGPQ.txt 2. Do you need Cogent to run Authoritative or Secondary DNS for your company? This is not for DNS resolvers, those will be provided during installation. [ ] No [ ] Yes please complete http://www.cogentco.com/Guide/DNSQ.txt 3. Do you need Backup Mail Service? [ ] No [ ] Yes please complete http://www.cogentco.com/Guide/SMTPQ.txt III. ASSIGNMENT REQUEST 4. Cogent Interface IP Address Needs. Please check a box. A: [ ] I will connect the Cogent circuit to a single Layer 3 device. B: [ ] I will connect the Cogent circuit with two Layer 3 devices for redundancy and need a /29 on the connected interface. C: [ ] I will connect directly to the Cogent circuit with a Layer 2 device need more than a /29 on the interface. (Multi-tenant Office Buildings and Cogent owned data centers only) SKIP TO SECTION IV D: [ ] I will connect the Cogent circuit to a Layer 2 device and need only a /29. (Multi-tenant Office Buildings and Cogent owned data centers only) YOUR'RE DONE SUBMIT THIS REQUEST. 5. Cogent Routed IP Address Needs. A: [ ] I do not need any additional Cogent Assigned IP Addresses for my LAN. YOUR'RE DONE SUBMIT THIS REQUEST. B: [ ] I need a /29 routed to my Layer 3 device. C: [ ] I need a /24 to run BGP and do not have one from any other provider. If you need a /24 for BGP and didn't get one from any of your other ISPs, please provide the email address of the human contact with your other ISP that can verify your BGP and IP address requirements. A generic "support" address is insufficient. Email: D: [ ] I need a larger block than the IP blocks listed above. CONTINUE TO SECTION IV *************************************************************************************************** For 5 if you checked A, B, or C you're done. STOP here and submit your IP request for processing. *************************************************************************************************** IV. Current IP Address Space Utilization Provide detail usage for the IPv4 addresses you already have. Network Size Assigned By Assign Date % in use 6. IP Justification: Please check the box that best describes your needs: A: [ ] I am going to renumber and return IPs from another ISP. When will this be complete? B: [ ] I have reached 80% usage of my current IPs and need more. C: [ ] I currently have no IPs and I am not renumbering from an other ISP. This is a new network. V. IPv4 IP Address Space Request 7. IP Block Size Requested: [ ] /28 [14 useable IPs] [ ] /23 [510 useable IPs] [ ] /27 [30 useable IPs] [ ] /22 [1022 useable IPs] [ ] /26 [62 useable IPs] [ ] /21 [2046 useable IPs] [ ] /25 [126 useable IPs] [ ] /20 [4094 useable IPs] [ ] /24 [254 useable IPs] [ ] /19 [8190 useable IPs] 8. Describe your planned usage of the requested IP assignment. Please be concise. Network Subnet Size Now 3-mo 6-mo 12-mo Description 9. Please complete the following for web-hosting services you provide. A: Total number of servers: B: Name-based hosting: domains using: IP addresses. C: IP-based hosting: domains using: IP addresses. D: How many websites do you have with SSL: E: Technical justification(s) for IP-based hosting: F: List of URLs and current IPs: URL Current IPs: VI. Network Diagram - Please complete this section if you are requesting IPv4 addresses. 10. Please provide an ASCII map showing how the requested block will be subnetted or provide a Visio file. ********************************************************************** *IPv6 is available for customers in On-Net Carrier Neutral * *Datacenters and On-Net Cogent Datacenters. Customers have the * *option of Dual Stack or IPv6 only. An order must be placed with * *Cogent Sales in order to activate IPv6. * ********************************************************************** VII. IPv6 IP Address Space Request Order Number: 11. Prefix length requested: [ ] /64 [1 subnet] Maximum connected IPv6 block size. [ ] /56 [256 Subnets] [ ] /48 [65k subnets] [ ] We have our own IPv6 space 12. Does this site currently have IPv6 space? [ ] No [ ] Yes. Please indicate current and planned usage for existing assignments, as well as planned usage for the requested prefix example: Network Prefix Now 6-mo 1-yr Description VIII. Network Diagram - Please complete this section if you are requesting IPv6 addresses. 13. Please provide an ASCII map showing how the requested block will be subnetted or provide a Visio file. ADDITIONAL COMMENTS (add additional sheets as necessary) EUROPEAN CUSTOMERS - Please fill in the RIPE 488 form below for IPv4 space ONLY: #[RIPE 488 Form START]# Doc-ID: ripe-488 Date: January 2010 Obsolete: ripe-315, ripe-381 % Provider Aggregatable (PA) Assignment Request Form % RIPE NCC members can use this form to request a PA assignment. Please see % http://www.ripe.net/ripe/docs/iprequestsupport.html. for instructions on % how to complete this form. #[GENERAL INFORMATION]# % % Please add your RegID. request-type: pa-ipv4 form-version: 1.2 x-ncc-regid: #[ADDRESS SPACE USER]# % % Who will use the requested address space? legal-organisation-name: organisation-location: website-if-available: % Does this End User already have address space that can be % used for this assignment? (Yes/No) space-available: #[ADDRESSING PLAN]# % As of 1 January 2010 assignments are for a period of up to 12 months. % As of 1 July 2010 assignments are for a period of up to 9 months. % As of 1 January 2011 assignments are for a period of up to 6 months. % As of 1 July 2011 assignments are for a period of up to 3 months. % % How will the End User use this address space? % % Subnet Immediate Intermediate Entire Purpose % size (/nn) Requirement Requirement Period subnet: subnet: totals: number-of-subnets: % Which netname will you use for this assignment? netname: % Will the End User return any address space? address-space-returned: #[EQUIPMENT DESCRIPTION]# % % What equipment will be used and how will it use the requested % address space? equipment-name: manufacturer-name: model-number: other-data: equipment-name: manufacturer-name: model-number: other-data: #[NETWORK DESCRIPTION]# % % Please add more information if you think it will help us understand % this request. #[NETWORK DIAGRAM]# % % Have you attached a network diagram to this request? (Yes/No) diagram-attached: #[END of REQUEST]# View Cogent forms at http://www.cogentco.com/Guide/ View Cogent's IP allocation policy at http://www.cogentco.com/Guide/IP_Allocation_Policy.txt View Instructions at http://www.cogentco.com/Guide/IPQ_EU-Sample.txt http://www.cogentco.com/Guide/IPQ_EU.txt IPQ EU-IPv4/IPv6-v1.4 02/05/10