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APNIC Document identity
Title: APNIC Membership Application
Short title: membership-application
Document ref: APNIC-054
Version: 001
Date of original publication: 30 May 1997
Date of this version: 30 May 1997
Review scheduled: n/a
Obsoletes: APNIC-046
Status: Obsolete
Comments: Obsoleted by APNIC-070
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APNIC Membership Application
Issued: May 30, 1997
Expires: December 31, 1997
*) This form is valid until superseded by another form. After the
date specified, please check the APNIC document store located at
ftp://ftp.apnic.net/apnic/docs/membership-application for the most
up to date version of this file.
In order to continue and to improve the quality of service offered to
the Asia and Pacific Rim Internet communities by the Asia Pacific
Network Information Center, APNIC requires a stable and sufficient
source of income. On June 1, 1996 APNIC instituted a fee-for-service
funding plan to provide that income. In order to obtain services from
APNIC in a timely manner, APNIC only allocates address space to member
organizations. This form will allow an organization to apply for
APNIC membership.
Please provide the information requested below submit this application
to member-apply@postoffice.apnic.net. When we receive your membership
application, we will send out (via electronic mail) your account name
to be used in subsequent communications with APNIC and (via postal
mail) an invoice and the APNIC Service Agreement. When APNIC receives
either the original signed service agreement back, a facsimile of the
signed service agreement, or notification (from our bank) of receipt
of funds corresponding to the category you have chosen, we will begin
processing your request normally. Prior to the receipt of either the
service agreement (in original or faxed form) or the funds, APNIC will
be unable to process your request. Note that if you provide a fax of
your signed service agreement, the paper copy MUST follow within 10
work days or APNIC may return any resources allocated to your
organization to the free pool.
*IMPORTANT* It must be stressed that membership within APNIC simply
provides access to APNIC services, of which resource allocation is
one. Allocation of Internet resources by all Internet registries must
be based on documented needs, being a member of APNIC does *NOT* imply
APNIC will be able to waive the justification requirements necessary
for the allocation of resources. Organizations interested in
understanding the guidelines under which the Internet registry system
operates are directed to RFC 2050 "Internet Registry IP Allocation
Guidelines", available from the following URL:
ftp://ftp.apnic.net/ietf/rfc/rfc2050.txt
For more information about APNIC's structure, please see the By-Laws
of APNIC (/apnic/docs/apnic-bylaws). For information on membership
requirements and benefits see the sample APNIC Membership Agreement
(/apnic/docs/membership-agreement). Both documents are available from
the APNIC document store located at ftp://ftp.apnic.net. If you have
any questions, please contact APNIC at your convenience.
The Asia Pacific Network Information Center
Tokyo Central Post Office Box 351
Tokyo, 100-91, Japan
Tel: +81-3-5500-0480
Fax: +81-3-5500-0481
Email: hostmaster@apnic.net
1) Please list your top three choices for your preferred account name.
APNIC will attempt to allocate your account name in the order you
have specified, but please be aware account names must be unique,
thus APNIC may be required to modify your account name to insure
uniqueness. Please limit your account name to no more than 25
alpha-numeric characters (no spaces or special characters other
than a hyphen ("-")). Note: your account name will be used in
application forms and MUST be included with your payments. There
is no relation between account name, network name, domain name, etc.
First Choice: _________________________
Second Choice: _________________________
Third Choice: _________________________
2) Please indicate what category best describes your organization:
[ ] Commercial Internet Network Service Provider
[ ] Non-Commercial Internet Network Service Provider
[ ] Commercial Organization (not Internet network provider)
[ ] Educational Institution
[ ] Governmental Organization
[ ] Other, please describe:
_____________________________________________________________
3) Please choose an appropriate billing category. Categories are
entirely self-determined, APNIC will do no checking to determine if
the size of a member registry is appropriate and size has no impact
on allocation or registration services. See the sample APNIC
membership agreement (/apnic/docs/membership-agreement) for more
information on the differences between the categories.
Billing Category (check one) Yearly Fee*
[ ] Large US $10,000.00
[ ] Medium US $5,000.00
[ ] Small US $2,500.00
*) does not include the one time US $1000.00 startup fee
4) Please check here if you intend to become an APNIC Confederation
of Internet Service Providers. Note that Confederations are
subject to additional charges and requirements.
[ ] YES -- Applying for confederation status
5) Please provide your organization's name EXACTLY as you wish it to
appear in APNIC's referrals. In addition, you may indicate the URL
where APNIC can obtain an electronic version of your organization's
logo. Note that providing this information means you will permit
APNIC to use the information in referrals and our web page. If you
do not wish to be listed in referrals, do not provide the URL and
logo location.
Organization Name: _________________________________________________
Organization URL (optional): _______________________________________
Organization Logo URL (optional): __________________________________
6) Please provide information to whom and to where the invoice and
service agreement for APNIC Services should be sent:
Billing Contact Name: ____________________________________________
APNIC Handle (if any): ____________________________________________
Address: ____________________________________________
____________________________________________
____________________________________________
Country: ____________________________________________
Contact Telephone: ____________________________________________
Contact Fax: ____________________________________________
Contact Email: ____________________________________________
7) I acknowledge that by obtaining membership in APNIC, I must still
provide sufficient documentation to justify requests for resources
as documented in RFC 2050. MEMBERSHIP ALONE DOES NOT GUARANTEE
ALLOCATION OF RESOURCES BY APNIC.
Applicant: __________________________________________________
Title: __________________________________________________
Email Address: __________________________________________________
Date: ____/____/____
Please submit this form to the following email address (preferred):
member-apply@postoffice.apnic.net
or to the following fax number:
+81-3-5500-0481
or in type written English via postal mail (as a last resort) to:
Asia Pacific Network Information Center
Tokyo Central Post Office Box 351
Tokyo 100-91
Japan
Thank you for your interest in becoming an APNIC Member.