-------------------------------------------------------------------- APNIC Document identity Title: APNIC Non-Member Resource Application Form Short title: non-member-application Document ref: unnumbered Version: 001 Date of original publication: August 1998 Date of this version: August 1998 Review scheduled: n/a Obsoletes: n/a Status: Obsolete Comments: 1. Was previously incorrectly labelled APNIC-071 2. Obsoleted by web form released 01/12/2001. -------------------------------------------------------------------- APNIC Non-Member Resource Application Form This form allows organization who are not APNIC members to request resources from APNIC. Any organization wishing to obtain resources in this fashion are strongly encouraged to read the APNIC Non-member Fee Schedule available from: ftp://ftp.apnic.net/apnic/docs/non-member-fees Please provide information requested below and submit this application to billing@apnic.net. When we receive your application for non-member status, we will send out (via electronic mail) your account name to be used in subsequent communications with APNIC, (via fax/postal mail) an invoice, and payment instructions. When you receive your account name, you may submit the appropriate resource application form. When APNIC receives either a bank draft or notification of a receipt of the fund from our bank, we will begin processing your request. Note that APNIC services are pre-paid -- all fees must be paid prior to APNIC processing your request. In the event that your request is not justified according to current Internet and APNIC policies, APNIC will return your fees (minus a 10% service fee and whatever bank charges are imposed by either your bank, APNIC's bank or both). If you have any questions, please contact APNIC at your convenience. The Asia Pacific Network Information Center Level 1, 33 Park Road P. O. Box 2131 Milton, QLD 4064 Australia Tel: +61-7-3367-0490 Fax: +61-7-3367-0482 Email: billing@apnic.net 1) 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: _____________________________________________________________ 2) Please indicate the type and number of request: [ ] Autonomous System number(s) How many: ________ Fees: US $500/AS (one time) + US $50/AS per year maintenance See: ftp://ftp.apnic.net/apnic/docs/asn-request [ ] Internet address(es) How many: ________ (individual addresses, not "blocks") Fees: US $1.00/address (one time, minimum US $8192.00) + 0.10/address per year maintenance See: ftp://ftp.apnic.net/apnic/docs/end-user-address-request [ ] IN-ADDR.ARPA domain(s) How many: ________ Fees: US $50/delegation (one time) See: ftp://ftp.apnic.net/apnic/docs/in-addr-request 3) 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): ____________________________________________ Organisation Name: ____________________________________________ Address: ____________________________________________ ____________________________________________ Country: ____________________________________________ Contact Telephone: ____________________________________________ Contact Fax: ____________________________________________ Contact Email: ____________________________________________ 4) I acknowledge that I must still provide sufficient documentation to justify requests for resources as documented in RFCs 1930, 2050, and other documents as approved by the APNIC membership from time to time. APPLICATION FOR RESOURCES DOES NOT GUARANTEE ALLOCATION OF RESOURCES BY APNIC. Applicant: __________________________________________________ Title: __________________________________________________ Email Address: __________________________________________________ Date: ____/____/____ Please submit this form to the following email address (preferred): billing@apnic.net or to the following fax number: +61-7-3367-0482 or in type written English via postal mail (as a last resort) to: Asia Pacific Network Information Center Level 1, 33 Park Road P. O. Box 2131 Milton, QLD 4064 Australia If you have any questions, please contact us at billing@apnic.net (preferred) or via telephone at +61-7-3367-0490 between 9:00 AM to 5:00 PM (Australia Eastern Standard Time).