For Canada, use the three-letter postal abbreviation. If this item is not applicable to your country, leave it blank. For the US, use the zip code. For Canada, use the six-character postal code. If this item is not applicable to your country, leave it blank.
Country Enter the two-letter country code .
Network Number or Netnumber Enter the number of your network. To provide an identifier in ARIN's IPv6 database, enter a short name for your network, not to exceed 14 characters. It is suggested that future network names reflect the name of the original as shown in the example below. If this is your first request, leave this space blank. The servers should be in physically separate locations and on different networks if possible.