AMP Site Information Form

IP Information

What will the IP address of the monitor be?
What will the subnet mask for the network be?
What will the default gateway be?
What is the network interface? GigE  100baseT  10baseT 10base2 other

Connectivity

Briefly describe the monitors connection to the wide area network (DREN or NIPR)?  Will this be inside or outside of a firewall?  How many hops away is it from the WAN?
If there are any URLs that are relevant to your sites network architecture or other measurements, and you are comfortable for us to link to them from our web pages, please list them here.

Contact Information

Technical Contact

Name
Postal Address
Phone
email

Administrative contact

(for any policy issues)
Name
Postal Address
Phone
email

Shipping Address for Machine

(must be FedExable)
Address
Phone

Other

Please choose a short name for your site. A component of your domain name might be a good choice.
Please enter the latitude and longitude of your site (lat,lon).  Leave it blank if you don't have this information.
Any other comments?