T
elehouse
I
nformation
M
anagement
S
ystem
Version
2008-03-18.01 Alpha
Request for IIX IP Address
To request a IP address a signed Service Order must be placed with Sales for
a IIX connetion prior to the request submission.
NOTE: All fields are required or else the request will be rejected.
System:
LAIIX
Company Name:
ASN:
IPV4 Fully Qualified Domain Name:
Definition: Fully Qualified domain name
IPV6 Fully Qualified Domain Name:
(OPTIONAL)
Definition: Fully Qualified domain name
NOC Phone:
NOC Email:
Technical Contact:
Technical Phone:
Technical Email: