Client Circuit Agreement
Client Information
Name of Institution/Agency
Physical/Finding Address
Contact Person for Access to Site
Daytime Phone#
After Hours Phone#
Pager#
Agency Purchase Order
Administrative Representative
Title
Phone#
Fax#
E-mail
Technical Representative
Title
Organization
Phone#
Fax#
E-mail
LAN Information
How many computers will be connected to your network?
Do you require Domain Name Services?
Requested Domain Name:
OneNet Members Agree:
1) To the terms of the "Client Connection Policy."
2) To the terms of the "Acceptable Use Policy."
3) OneNet will help circuit clients apply for a domain name. Either OneNet or the InterNIC will bill the client for
registered domain names on an annual basis. OneNet will assign IP addresses, both public and private, to
its clients. These addresses will remain under the control of OneNet and the InterNIC.
4) That all routers that are owned by OneNet or that provide connectivity to OneNet will be configured and
managed by OneNet staff and authorized representatives.
5) That billing for a Circuit begins when the OneNet hub router port for the institution / agency is operational,
regardless of the status of the Local Area Network.
6) That billing for a Circuit will continue until OneNet receives written notice of cancellation.
Signature of Authorized Representative ________________________________ Date ___________________
Page 10 of 13
May 2005
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