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List additional customer contact emails to carbon copy on the form submission confirmation.
Frontier Account Team

Customer Information (End User)







Customer Point-of-Contact Information (Carrier Customer)




Requested Netblock

Standard Configuration Request: /30, /29, /28

These can be requested in two configurations:

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WAN/LAN (TOS 000000)

When requested the configurations will be as follows depending on the size of the block requested:

/30 WAN and a /30 LAN

/30 WAN and a /29 LAN

/30 WAN and a /28 LAN

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FLAT/LAN (TOS 111111)

When requested the configurations will be as follows depending on the size of the block requested:

A single /30 facing directly to Frontier

A single /29 facing directly to Frontier

A single /28 facing directly to Frontier

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If the customer is requesting a larger IP block (i.e. /30 to a /29), the current /30 IP block will be reclaimed and new /29 IP block will be assigned.




Current IP Address Usage
Provide the numbers detailing your current network to justify the requested IP Block.

Fields are required.  Zero may be entered as a valid entry, however, total of all IP Address Usage fields must justify requested block size.