<COMPANY NAME>								<COMPANY LOGO>
<COMPANY ADDRESS>
<COMPANY INFORMATON>

Letter of Authorization (LOA)

<DATE>

With this letter I order a cross-connect in at the Serverius B.V. data center. I authorized Serverius B.V. to add the cross-connect from the SpeedIX Point of Presence (PoP) to the following <COMPANY NAME> demarcation point:

	

Site demarkation details:

<DATACENTER NAME>, <DATACENTERDRESS>
<COLOCATION ROOM>, <RACK NUMBER>
<UNIT NUMBER>, <PORT NUMBER>
<INTERFACE TYPE>, <CONNECTOR TYPE>

This authorization does authorize Serverius B.V. to charge €326,- setup + 320,- euro per year to me,  <COMPANY NAME>, for the costs which result in adding and maintaining the connection.

This authority is limited to the provisioning for the purpose of the initial installation and will expire after 90 days from date of issue.

Should Serverius B.V. have any queries regarding this letter of agency, please contact us on:

<CONTACT PERSON>
<PHONE NUMBER>
<EMAIL ADDRESS>

<APPLICANT NAME>
<APPLICANT POSITION>
<EMAIL ADDRESS>

<APPLICANT SIGNATURE>