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Request or IPv4 Addresses
Hunter Communications
IP Address Space Administration Request
for IPv4 Addresses
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. Following ARIN policy, Hunter Communications will require applications for IPv4 address space to include an attestation of accuracy from an organizational officer. Hunter may run an audit on assigned IP’s bi-annually to verify assignments are in alignment with ARIN policy. If IP assignments are unused for 6 months Hunter may require IP addresses back from the assignee. A complete set of instructions and examples are provided at the end of this document. 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
Company Name
(Required)
Last
Customer Name
(Required)
First
Last
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Technical Contact
(Required)
Tech Email
(Required)
Phone
FAX
Type of Internet Connection?
(Required)
Colocation
Internet Access
Other
II. IPv4 Address Space Request
III. Planned Usage for Requested IPv4 Address Space
Network
Subnet
Max
Now
3 mos
6 mos
Description
Add
Remove
IV. Reverse DNS
Domain Name
IP Address
Add
Remove
V. Web Hosting
VI. Additional Comments
Customer Acknowledgment
Name
(Required)
First
Last
Title
(Required)
Date
(Required)
MM slash DD slash YYYY
Signature
(Required)