---------- From: Jim Fleming[SMTP:JimFleming@unety.net.] Sent: Saturday, February 22, 1997 5:15 PM To: 'naipr@arin.net' Subject: Short Form 1040/19 EZ Here is a short form 1040/19 EZ that the U.S. Government could be using to allocate /19 CIDR Blocks. @@@@@@@@@ EXAMPLE @@@@@@@@@@@@@@@@ 1. Name, address, and State of Incorporation. (Include copy of the Certificate of Incorporation) _______________________________________ _______________________________________ _______________________________________ 2. Previously allocated blocks that will be returned 60 days after the new allocation is activated. __________________________________ __________________________________ __________________________________ __________________________________ 3. Contact information on the TWO service providers that have agreed to advertise your allocation. Please attach standard routing afidavits from each provider. 1. ________________________________ 2. ________________________________ 4. Business References: 1._____________________________ 2._____________________________ 3._____________________________ 3. Date Submitted and signed by an officer of the company ______________________________________ Please submit the above information along with a $500 application fee drawn on a U.S. bank. Please allow at least 5 days for processing from the date received. @@@@@@@@@@@@@@@@@@@@@@ -- Jim Fleming Unir Corporation e-mail: JimFleming@unety.net JimFleming@unety.s0.g0 (EDNS/IPv8)