IXPN Application Form

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Name *

Designation *

Email *

Phone *

Organization Details (Name of Organization) *

Organization Details (Registration Number)

Organization Details (Physical Address) *

Organization Details (Email Address) *

Organization Details (Phone) *

Organization Details (Website)

Technical Contact (Autonomous System Number)

Technical Contact (Description) *

Please tick the option(s) below that describes your organization *

Others (Kindly specify) *

Billing Contact (Name) *

Billing Contact (Designation) *

Billing Contact (Email) *

Billing Contact (Phone) *

HQ: 8th floor, NCR building,
No 6, Broad Street, Marina, Lagos.

Phone: +234-8093878110

Email: info@ixp.net.ng