####################### JUSTIFICATION SECTION ########################
##------------------ EXISTING NETWORK SUB-SECTION --------------------

1. List your current Internet Service Provider(s).
	

2. List the current IP blocks you already have been assigned.


3. Existing Network Topology: 
   Explain how addresses in item #2 have been utilized, using the 
   format below.
        ## -------------------EXAMPLE---------------------------------
        ## Existing Addresses   Subnet Mask      Hosts  Description
        ## -----------------------------------------------------------
        ## xxx.xxx.xxx.xxx      255.255.255.224    8    Network 
        ## xxx.xxx.xxx.xxx      255.255.255.224    17   Engineering
        ## xxx.xxx.xxx.xxx      255.255.255.224    12   Manufacturing
        ## xxx.xxx.xxx.xxx      255.255.255.224    5    Management
        ## xxx.xxx.xxx.xxx      255.255.255.224    10   Sales
        ## xxx.xxx.xxx.xxx      255.255.255.224    7    Finance
        ## xxx.xxx.xxx.xxx      255.255.255.224    0    (spare)



4. Current Host Count and Initial Host Count After Assignment of New IP Addresses:   

5. Host Count Within One Year:


6. Explain how the requested addresses will be utilized both initially and within one year,
   using the format below. For example, if you are requesting a /23, the table below will 
   encompass how the /23 will be utilized. The '1yr' column shows the combined usage
   of the newly allocated blocks as well as the current IP addresses.
        ## ------------------EXAMPLE---------------------------------
        ##                             Hosts Hosts
        ## Subnet#    Subnet Mask       Now   1yr    Description
        ## ----------------------------------------------------------
        ## 1.0        255.255.255.224    8     16   Network
        ## 1.1        255.255.255.224    17    22   Engineering
        ## 1.2        255.255.255.224    12    12   Manufacturing
        ## 1.3        255.255.255.224    5     9    Management
        ## 1.4        255.255.255.224    10    15   Sales
        ## 1.5        255.255.255.224    7     8    Finance
        ## 1.6        255.255.255.224    0     0    (spare)



7. Provide additional information for CENIC/ARIN to consider for this network request.
   This could include any explanation if unable to fulfill CENIC/ARIN guidelines. If
   you are planning to migrate away and return your old IP address space, please
   provide plan information here also.



######################## ORGANIZATION SECTION ########################
Please complete line 8 OR lines 9,10. 

8. ARIN Org ID:
     
9. Organization Name (less than 150 characters):
      
10. Organization Complete Address:
      
######################## REGISTRATION SECTION ########################
11. How many /24 networks are being requested. Each /24 contains 256 addresses:

12. Network Name (no more than 50 characters):
   
13a. If the network has in-addr.arpa servers, list the hostnames
     of at least two name servers. Do not provide IP addresses.
     Duplicate line 13b to specify additional servers. 
     IN-ADDR Name Server: 

13b. IN-ADDR Name Server: 
      
##################### CONTACT SECTION #####################
   The person or role in this section serves as a supplemental
   contact to the organization POC(s).  To specify multiple
   contacts, duplicate lines 14 and 15.
14. POC Type (T-Technical, AB-Abuse, N-NOC):

15. POC Name:
   
16. POC Title:

17. POC Phone:

18. POC Email:


END OF TEMPLATE