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  1. Internet Society
  2. Individual Membership Information UPDATE form
  3.  
  4. This form allows you simply and easily to update your Internet Society
  5. membership information if you are ALREADY a member. If you are not yet a
  6. member of the Internet Society, please obtain the Join the Internet
  7. Society form.  It is available at:
  8.  
  9. ftp://ftp.isoc.org/isoc/membership/individual-member-join.txt 
  10.  
  11.  
  12. ***********************************************************
  13.  
  14. Please UPDATE my individual membership information as
  15. indicated below.
  16.  
  17. Current Internet Society Membership Number:
  18.  
  19.  
  20. Name
  21. Title
  22. Organization/Institution
  23. Postal Address
  24.  
  25. E-mail Address
  26. Telephone
  27. Fax
  28.  
  29. Please check the box that best describes your position:
  30. __  Owner/President/CEO/CIO
  31. __  Director/Manager
  32. __  Product Development Manager
  33. __  Systems Manager/Administrator
  34. __  Network Manager/Administrator
  35. __  Marketing/Advertising Manager
  36. __  Engineer
  37. __  Programmer
  38. __  Professor/Associate Professor
  39. __  Researcher/Assistant
  40. __  Librarian
  41. __  Consultant/Self-Employed
  42. __  Student
  43. __  Other
  44.  
  45. Please check the box that best describes your organization:
  46. __  Network Service 
  47. __  Software Company
  48. __  Information Systems Management
  49. __  Product Provider
  50. __  Educational Institution
  51. __  Nonprofit Organization
  52. __  Public or Private Library
  53. __  Publisher
  54. __  Other
  55.  
  56. Send this form to:
  57.  
  58. Internet Society
  59. 12020 Sunrise Valley 
  60. Drive, Suite 210
  61. Reston, VA 22091-3420
  62. U.S.A.
  63.  
  64. --or--
  65.  
  66. FAX to:  +1 703 648-9887
  67.  
  68. --or--
  69.  
  70. Electronic mail:
  71.  
  72. membership@isoc.org
  73.