Connection Form (Confrm)
Connection Form (Confrm)
Connection Form (Confrm)
Mobile Email
To whom questions regarding the service
should be addressed
Pincode Position
Technical Contact on Site Fax Email
Contact Name Phone Provide here details of contact whom
Mobile
Out of Hours Reporting
NIXI can
contact in the event of service problems
outside of working hours.
24 hour contact numbers
Contact Names
Do you need consolidate bill for all locations?(If connected at multiple locations)
Billing Contact
Billing Contact Address
Provide details to whom invoices will be sent
Position Phone
Fax Mobile
Member Signature
Company Seal
NIXI Service Details:
1. Access Circuit
Member Signature
Company Seal
Member’s peering with NIXI will be (select 1or 2):
1.NIXI will be the sole peering provider to the Member. 2.Member will have multiple peering pr
BGP Information
Member Signature
Company Seal