------------------------------------------------------------------- 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Date of original publication: 30 May 1997 Date of this version: 30 May 1997 Review scheduled: n/a Obsoletes: APNIC-046 Status: Obsolete Comments: Obsoleted by APNIC-070 -------------------------------------------------------------------- APNIC Membership Application Issued: May 30, 1997 Expires: December 31, 1997 *) This form is valid until superseded by another form.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.