NTTA IPJ - IP Address Space Administration V3.4

QuickPacket, LLC - IP Address Space Administration v1.1 Request for IPv4 and IPv6 Address Space

In assigning IPv4 and IPv6 address space to Internet subscribers, QuickPacket, LLC takes guidance from assignment policies and procedures set forth by ARIN (American Registry for Internet Numbers) Number Resource Policy Manual, RFC 2050, and RFC 3177.

In order to justify an IP address space assignment, please completely document all information requested below. IP address space will be assigned based on an analysis of your current and projected usage against strict utilization efficiency guidelines as defined by ARIN Number Resource Policy Manual, RFC 2050, and RFC 3177.

Note: If you need additional space for any of the documentation requested below, please provide the information in a separate document with your request.

I. Customer Information Date: Please complete this section if you are requesting IPv4 and/or IPv6 address space. Contact Name

Company Name

Address

City State/Province Postal Code

Country Code Phone E-Mail Do you have an ARIN Org Yes No If yes, please provide your Org ID ID?

II. Current IPv4 Address Space Utilization Please complete this section if you are requesting IPv4 address space. List ALL IPv4 address space currently assigned from all sources. Number of IPs Will you renumber out of IP/Subnet Assigned By in use these IPs? Example: 200.22.22.0/24 256 QuickPacket, LLC Yes No Yes No Yes No Yes No Yes No If you indicated above that you will be renumbering out of existing IP space, please provide the date when renumbering is expected to be completed:

2013 QuickPacket Page 1 of 3 III. IPv4 Address Space Request Please complete this section if you are requesting IPv4 address space. IPv4 Block Size Requested Describe your planned usage of the requested IPv4 address space. Please be concise.

Please provide any additional documentation that will help demonstrate a justified need for the IPs being requested. Items such as location of your reassignments to your customers, nmap, arp table data, IP justification from your customers and so on.

IV. Planned Usage for Requested IPv4 Address Space 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. 1-month 3-month 6-month 12-month IP/Subnet Description usage usage usage usage Example: x.x.x.0/24 Database cluster 128 150 230 256

V. IPv6 Address Space Request Please complete this section if you are requesting IPv6 address space. IPv6 Block Size Requested Describe your planned usage of the requested IPv6 address space. Please be concise.

Please provide any additional documentation that will help demonstrate a justified need for the IPs being requested. Items such as location of your reassignments to your customers, nmap, arp table data, IP justification from your customers and so on.

2013 QuickPacket Page 2 of 3 VI. IPv6 Address Space Request Please complete this section if you are requesting IPv6 address space. Prefix length requested Do you currently have IPv6 space? Yes No - If you currently have IPv6 address space, please indicate current and planned usage for existing assignments, as well as planned usage for the requested prefix. - If you are requesting more than a single /48, indicate planned usage.

IPv6 Usage Plan

Network Prefix Max Now 6-mo 1-yr Description Example: 3ffe:a00:: /48 /48 /64 /52 /48 Network infrastructure

Totals

VII. Additional Comments

Please return the completed form to the QuickPacket Sales Department. Failure to provide the requested detail may cause a delay in provisioning your IP Address Space Request.

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