Application form

If you would like to join the FreeBIX community, please fill out the following application form. Make sure you have read the Usage Policy and the FAQ first.

Administrative information:

Organisation name:*

Address:*

Address (cont'd):

Zip code:*

City:*

Country:*

Phone:*

Fax:*

Administrative contact name (last resort):*

Administrative contact email:*

Administrative contact phone:*

Company description:*

Operational information:

Technical contact name:*

Technical contact phone number:*

Technical contact email:*

Technical contact fax:

Secondary technical contact name:

Secondary technical contact phone:

Secondary technical contact email:

Secondary technical contact fax:

NOC Supervisor name:*

NOC Phone (24/7 contact):*

NOC Email (24/7 contact):*

NOC Fax (24/7 contact):

Peering request email address:*

Additional information:

Technical information:

AS Number:*

AS Macro:

POP you would like to connect to:*
InterXion, Zaventem
LCL, Diegem
Versatel, Nossegem

Average number of routes advertised:*

Webpage URL:

Briefly describe your peering policy (open, restrictive, ...):*

Desired date of connection:*