Sago Networks IP Justification Form

IP Request Form
Please complete the form and submit via e-mail to ipengineering@sagonet.com. 
The IP Engineering Department will acknowledge receipt of your completed request
via e-mail. Please know that it may take up to 48 hours to process your request.
ONLY complete forms will be processed, so please do not leave any fields blank.

***** NOTICE *****
IP assignments for shared/virtual webhosting should *ONLY* be given when needed
for SSL certificates. ALL domains not requiring SSL should share one IP address
with other domains that also do not require SSL certificates.

Additional IP space will *NOT* be given for IRC use. Although IRC is not strictly
prohibited on Sago Networks backbone, Sago Networks does not provide any support
for IRC in *ANY* manner including but not limited to IP space.

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1. **Provide the name of your organization. If you do not have an organization
listed under your contact information, please list your first and last names.**
Organization Name: 

2. **Provide the username for your Sago Networks portal account or client id
number. Please do not enter your password.**
Portal ID (no password) / Client ID:

3. **List the Primary IP Address of the server you are requesting additional
IP addresses for.**
Server Primary IP Address:

4. **List ALL IP addresses assigned to this server. You may specify a range to 
shorten response such as 192.168.1.2-100.**
IP Addresses:

5. **Of the IP addresses listed above in number 4, please list how many addresses 
are used to provide what types of services.**
IP-based Shared/Virtual Web Hosting:
Name-based Shared/Virtual Web Hosting:
Resellers:
Name Servers:
Virtual Private Servers (i.e. Virtuozzo):
IRC:
Other (Please specify):

6. **List the number of IP addresses that you project will be needed for each 
type of service over the next 3 months on this server.**
IP-based Shared/Virtual Web Hosting:
Name-based Shared/Virtual Web Hosting:
Resellers:
Name Servers:
Virtual Private Servers (i.e. Virtuozzo):
IRC:
Other (Please specify):

7. **Please specify the number of IP addresses that you are requesting to meet
this 3 month projection.**
Number of Requested IP Addresses:

8. **Provide any additional information you would like Sago Networks to consider
for this IP request.**
Additional Information:
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