TELEHOUSE LOGO T elehouse Information Management System
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: