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. BGP Request Form Order Number (previously obtained from Allstream Customer Service) * Company Name * Allstream Representative * Allstream Market * -Select- United States Canada Contact Name * Contact Phone Number * Contact Email Address * Is your technical contact the same as your primary contact? * Yes No Technical Contact Name or Company * Technical Contact Phone Number * Technical Contact Email Address * Autonomous System Number (ASN) Type * Public Private (must be multi-homed with Allstream as your only provider) Connected IP Address * Routes Announced FROM Allstream * -Select- Full Internet Routes Allstream and Customer Routes Allstream and Customer Routes, plus Default Route Default Route Only Routes Announced TO Allstream (The smallest netblock Allstream will accept is /24. Exceptions may be made for private AS customers.) * Comments: Terms and Conditions (Customer MUST agree to the terms in order to make a BGP request): * Yes, I agree to Allstream's BGP terms and conditions Submit If you are human, leave this field blank.