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APNIC Document identity

 Title:    APNIC Autonomous System Number Request Form
 
 Short title:			  asn-request
 Document ref:  		  APNIC-092
 Version:   			  001
 Date of original publication:    20 August 2002
 Date of this version:   	  20 August 2002
 Review scheduled:  		  n/a                
 Obsoletes: 			  APNIC-066
 Status:  			  Obsolete
 Comments:  			  This document also exists as an
                                  online web form (with appropriate
                                  modifications).	
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     APNIC Autonomous System Number Request Form
     
     
     

What is this form used for?
---------------------------

  This form is for use by organisations requesting an Autonomous System 
  (AS) number used to enable routing in multihomed environments.
  
  It may be used by APNIC members and non-members with a valid
  APNIC account name.


  There is also an online web version of this form at:
  
    http://www.apnic.net/db/aut-num.html



Eligibility for an AS number
----------------------------

  Organisations requesting an AS number should see RFC 1930 to determine
  whether an AS number is justified.
  
  
  
Fees and accounts
-----------------

  AS numbers are avilable to both current APNIC members and non-
  members. Non-members must first obtain an APNIC account name.
  
  Membership information:
  
     http://www.apnic.net/member
  
  Non-member accounts:
  
     http://www.apnic.net/member/non_member.html
  
  A summary of APNIC's fees is available at:
  
     http://www.apnic.net/member/feesinfo.html



Help guide for this form
------------------------

  A full help guide for this form is available at:

     http://www.apnic.net/services/help/asn-txt
     


Questions
--------- 
 
  If you have other questions, please contact us at:

     <helpdesk@apnic.net>

  Or, if you would prefer to phone or fax us with your questions,
  please refer to our contact details and office hours at:

     http://www.apnic.net



Submitting this form
--------------------

  First, complete the form templates below in plain ASCII text. Then,
  submit the completed templates (not including this introductory
  information) by email to:

     <hostmaster@apnic.net>

  Please note that this form will first be parsed by machine.
  Therefore, you must ensure that:
    - your account name is included in the subject line. For example,
      SPARKYNET-ID
    - your email is sent in plain ASCII text only 
    - you do not modify any of the template lines starting with #[
    - you do not modify any of the field names in the templates.







NOTE: PLEASE DO NOT INCLUDE THIS HEADER WITH YOUR APPLICATION.

- - - - - - - - - - - - - FORM STARTS - - - - - - - - - - - - - - -



#[REQUESTOR TEMPLATE]#

name:
email:
acct-name:
org-relationship:


#[AUTONOMOUS SYSTEM TEMPLATE]#
      
prefix:
date:
peer-as-contacts:



#[AUT-NUM TEMPLATE]#

as-name:       
descr:         
country:        
import:        
export:        
default:       
remarks:       
admin-c:       
tech-c:        
notify:   
mnt-by:          


Additional Comments:


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