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  IP Address allocation
 Requestor Details
* Contact First Name
* Contact Last Name
* Contact Email Address
* Contact Phone Number
* Company Name
* Company Address
Company URL

 

Please complete one of the following to
identify and confirm your service:
Optus Contact Name
Optus Service
Order Number
Optus Circuit ID

Note: Fields marked
with a * are mandatory.


Future Network Plans

Use the following form to generate your proposed Network Plan. Use the left hand side fields only and then click on the Add Row button to generate a description for each subnet.
Total number of IP addresses for this subnet

* Internet Connection
* Hosts Required NOW
* Hosts required in 6 months
* Hosts required in 1 year
*Explanation for what  this subnet is used for
 
Total Number IP addresses
  
Subnet Mask
 

(Please supply further information which details how exactly you plan to use the amount of IP addresses requested, including a network diagram, details of what equipment is on your network (make, model and quantity), how many users and expected usage rate.)
Additional Comments

 Administrator Contact Details
If you do not have a NIC handle, please leave the below field empty.
Administrator NIC Handle

Reset this form
   
Newsfeed Service Autonomous System Number IP Address DNS Routing Mail Store & Forward