Questions and Answers for Ethertype Applications

Part 1

Requestor Name

first and last name of the individual that is requesting the assignment

Job Title

name of the position held within the company

Organization Name

name of the company

Address Line 1

first line of address

Address Line 2

second line of address (if applicable)

City

city that company is located in

State/Province

state or providence (whichever applies) that company is located in

Zip or postal code

zip code or postal code that company is located in

Country

country from drop down list that your company is located in

Phone Number

phone number of Requestor

Fax Number

fax number of Requestor

E-mail Address

e-mail address of Requestor

Part 2

Administrator Name

first and last name of the individual that is responsible for maintaining the assignment (can be same as Requestor)

Job Title

name of the position held within the company

Organization Name

name of the company

Address Line 1

first line of address

Address Line 2

second line of address (if applicable)

City

city that company is located in

State/Province

state or providence (whichever applies) that company is located in

Zip or postal code

zip code or postal code that company is located in

Country

country from drop down list that your company is located in

Phone Number

phone number of Administrator

Fax Number

fax number of Administrator

E-mail Address

e-mail address of Administrator

Part 3

Proforma Invoice

This option is chosen if an invoice is needed prior to releasing payment. If this option is not chosen prior to clicking submit, it will be necessary to complete another application in order to request an electronic version.

Check

When the company is ready to send a check, it is imperative that it is sent to the exact address in the e-mail.

Wire Transfer

The application will not be processed until the wire transfer confirmation of receipt from the IEEE Accounting department is received. The wire transfer receipt must be faxed if the payment is sent under a name other than the one on the application.

Purchase Order

The purchase order must be faxed as stated in the e-mail that will be sent upon submittal of the application.

Credit Card

Please ensure that the credit card number and expiration date are correct to avoid any delays in the processing of the request.

Part 4

Box A

These are the details that will be reviewed in the application approval process.

Box B

These are the details that will be posted to the public listing once it is revised.

* The public reflector can be used to voice any concerns or spark discussions regarding any Registration Authority Ethertype issues.