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Submit GENI Resource Approval/Inquiry Request

Submit GENI resource Approval/Inquiry request
** Mandatory fields are highlighted and preceded by an asterisk

 Click here to view Customer Impact (CI) Guidelines
* Agree to Customer Impact Guidelines?I Agree
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Contact Information

*Last Name:
*First Name:
*Email address:
IM Handle:
Job Title:
Office Phone:
Cell Phone:

Request Information
*Name of Slice:
*IP Subnets:
*Type of Traffic:

Click the SUBMIT button to send your Request. There is no need to reply to this email. You will receive an email confirmation if your Request is successfully registered. Please contact if you experience problems using this form.
Be sure to click the submit button only once. A separate Issue will be entered each time the button is clicked.

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