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BGP Request Form

Please complete the entire order form. Your detailed answers will help us make a quick and appropriate response to your request.

Every field is required unless otherwise indicated.

About Your Organization

Company Name:
Integra Rep:
Your Integra market:

Primary Contact Information

Contact name:
Phone number:
Email address:
Street address:
City:
State:
Zip code:

Technical Contact Information

Is your technical contact the same as your primary contact? Yes No
Technical contact name or company:
Technical contact phone number:
Technical contact e-mail address:
Technical contact street address:
City:
State:
Zip code:

ASN

Autonomous System Number (ASN) type: Please note: In order to request a private ASN, you must be multi-homed, with Integra Telecom as your only provider.
Public
Private

BGP Request Information

Connected IP address
Routes announced FROM Integra:
Routes announced TO Integra: Enter each netblock to route, separated by a space.
(ie xxx.xxx.xxx.0/24 xxx.xxx.0.0/16).

NOTE: The smallest netblock Integra will accept is a /24. Exceptions can be made for private AS customers.
Comments:
Terms and conditions: Customer must agree to the terms to make a BGP request.
Yes, I agree to Integra's BGP terms and conditions.

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