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How about something like:

[company name] , [AS Number], is planning to interconnect to the
Midwest Internet Cooperative Exchange for the purpose of exchanging
Internet Protocol traffic with other members of the exchange. This
connection will be installed as soon as the exchange begins
operations.

--- Signature of important person with title/date ---

I think it would be good to have the IP data as well but I don't want
to delay processing looking up all of the addresses.

Thanks,

-- 
Jay Hanke
CTO, CCIE #19093
Mankato Networks LLC
320 East Liberty Street
Mankato, MN 56001-3838
Google 530-618-2398
[log in to unmask]
http://www.mankatonetworks.com

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