If you want to purchase a test-box and obtain TTM services, please fill
out this form. After you pressed the submit button, your
request will be forwarded to the RIPE NCC. If you already have the hardware
at your site, please us a different form.
Does your organization already host a test-box
for which a service contract has been signed, or has it
already applied for one?
No
Yes
If you answered yes to this question, you may skip questions
1.3 through 1.5. We will assume that the information currently
in our data-base is correct. If anything has to be changed,
please fill out the approriate fields.
1.3. Contact person.
This should be the name of the person coordinating the TTM effort at your
site and his contact information. This address will be used for general
issues, day to day operational requests will be sent to the technical contact
address.
Contact person:
Contact person RIPE-handle:
Optional, but if you enter a RIPE handle, the other fields for this
item can be left blank.
Contact email address
Contact phone number
Contact fax number
Contact address:
Country
Billing contact person.
The information in this section will be used for sending invoices and
such.
Billing contact person:
Billing person RIPE-handle:
Optional, but if you enter a RIPE handle, the other fields for this
item can be left blank.
Billing contact email address
Billing contact phone number
Billing contact fax number
Billing contact address:
Country:
Additional remarks:
1.4. Local Technical Contact
The information filled out in this field will be used for day-to-day
operational issues regarding the test-box. We strongly prefer to have
the address of your noc or operations group, instead of a single person.
Name of local contact person(s):
RIPE-handle:
Optional, but if you enter a RIPE handle, the other fields for this
item can be left blank.
Email address:
Phone Number:
Fax number
Technical contact address:
Country
1.5. Shipping Information
Shipping address:
Country
Shipping instructions:
Use our customer number:
1.6. Contract information
Model:
1u model
This model supports up to 2 NIC's and thus 2 physical network
connections. If you need more, please contact
us to discuss your specific
situation.
Clock:
GPS
Charging Option:
The purchase price does not include 19% BTW (Dutch VAT). If you
supply a current EU VAT number, then VAT will not be charged. Other
sites may be eligible for a refund of the VAT. Shipping costs vary from address to address and will be
charged separately. For sites operating more than 1 box, the service element of the fee is reduced.
EU VAT Number:
Optional information for EU sites only.
2. Technical Information
The section numbers on the remainder of this form refer to the sections
in ripe-168.
2.1. Rack Space
Rack space available?
2.2. Antenna
Suitable antenna position available?
Estimated Maximum Cable Length:
meters
Estimated time needed to install the antenna:
weeks
Remarks/Special requirements:
2.3. Network Topology
Describe your local network situation:
Type or cut and paste the information into the box. If this is impractical
or if you want to send drawings or the like, please send them by
email.
2.6. Addresses, Routing
IPv4 address for the test box:
IPv4 netmask for the test box:
IPv4 address of Default Gateway:
IPv6 address for the test box:
IPv6 prefixlength for the test box:
IPv6 address of Default Gateway:
2.8. Disclosure of Data
Check the box after you have read the section on disclosure of data.
2.10. Telnet port for local monitoring
IP-address(-range) for monitoring machines:
3. Send Application
After you have filled out the form, press the "Check" button to check
the data that you have just entered, after that a customized version
of the form for you to sign will be created.
There is no deadline for applying.
Press the "Clear" button to clear the form and start all over again.
