Datagram IP Questionnaire If this is for a new install, please copy and paste this into an email back to your Service Delivery, Provisioning or Sales representative. If this is for additional service post-install, please copy and paste this into an email to support@datagram.com Date: ______________ Customer Number: __________ A. CUSTOMER INFORMATION 1. Company Name: _____________________________________________________ 2. Tech Contact 1: ___________________________________________________ Name Email Phone Tech Contact 2: ___________________________________________________ Name Email Phone B. TYPE OF SERVICE 3. Customer Hardware: [ ] Router/Layer-3 Device [ ] Switch/Layer-2 Device 3a. Manufacturer: __________________ Model: __________________________ 3b. Redundancy: I have two routers/firewalls [ ] Yes [ ] No 4. Do you need to run BGP? [ ] Yes [ ] No If Yes, please complete http://www.datagram.com/forms/BGPQ.txt 5. Do you need any DNS Service? [ ] Yes [ ] No If Yes, please complete http://www.datagram.com/forms/DNSQ.txt 6. Do you need Backup SMTP Service? [ ] Yes [ ] No If Yes, please complete http://www.datagram.com/forms/SMTPQ.txt C. NETWORK DESIGN AND TOPOLOGY MAP 7. Requested Block: Please check a box. [ ] I just need the default allocation. [switch = /29, router = /30] [ ] I just need a /29 statically routed to the /30 for my router. [ ] I need a larger block than the default allocation. [ ] I don't have a /24 from any other provider and need one for BGP. 7a. If you need a /24 for BGP and didn't get one from any of your other ISPs, please provide the email address of the technical contact that you worked with when you installed the lines with your other ISPs. A generic "support" address is insufficient. email: ________________________________________________________ ********************************************************************** If you didn't check 'I need a larger block', you're done. Cut here. ********************************************************************** 7b. If you need a larger block, check the appropriate box and then answer Questions 8-12, as justification is required. [ ] /28 [14 useable IPs] [ ] /24 [254 useable IPs] [ ] /27 [30 useable IPs] [ ] /23 [510 useable IPs] [ ] /26 [62 useable IPs] [ ] /22 [1022 useable IPs] [ ] /25 [126 useable IPs] [ ] /21 [2046 useable IPs] 8. IP Justification: Please check the box that best describes your needs: [ ] I need a block so I can renumber out of IPs from another ISP. [ ] I have reached 80% usage of my current Datagram IPs and need more. | | 8a. If you are either renumbering from another providers' IPs | or augmenting your existing Datagram allocation(s), attach an | ASCII map showing how your current IP blocks are subnetted. OR | 8b. What is your current block of IPs? ______________________ | | 8c. How many of these are in use? ___________________________ | [ ] I currently have no Datagram IPs, and I am not renumbering from elsewhere. This is a new network, starting from scratch. 8a. If you are building a new network from scratch, attach an ASCII map showing how the requested block will be subnetted. 9. Please provide host counts in the following format to demonstrate efficient utilization of the block in 8a. See example. IMMEDIATE 90 day 180 day Block Machines IPs Mach. IPs Mach. IPs Purpose __________________________________________________________________ 10. In the detailed host count for #9, have you shown blocks that require one-to-one NAT instead of one-to-many NAT (PAT)? [ ] Yes [ ] No If Yes: Please include technical explanation for utilizing NAT instead of the more efficient PAT in your network. __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 11. In the detailed host count for #9, have you shown blocks for customers? [ ] Yes [ ] No If Yes: For IP blocks to be used for customers, please provide detailed list of customer names and the block sizes they require (as verified by you) in the following format. See example. Customer IP block ________________________________________________________ 12. In the detailed host count for #9, have you shown blocks used for inhouse webhosting? (don't include customers who are webhosting on their own servers in your facility, as those were covered seperately under #11) [ ] Yes [ ] No If Yes, please fill out 12a-12e. See example. 12a. Total Number of Servers: ________ 12b. Name-based hosting: ________ domains using ________ IP addresses 12c. IP-based hosting: ________ domains using ________ IP addresses 12d. Technical justification(s) for IP-based hosting: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ 12e. List of URLs and current IPs: URL Current IP __________________________________________________________ D. ADDITIONAL COMMENTS (add additional sheets as necessary) __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ IPQ-v1.50 1/1/06