Internet Society
Individual Membership Information UPDATE form

This form allows you simply and easily to update your Internet Society
membership information if you are ALREADY a member. If you are not yet a
member of the Internet Society, please obtain the Join the Internet
Society form.  It is available at:

ftp://ftp.isoc.org/isoc/membership/individual-member-join.txt 


***********************************************************

Please UPDATE my individual membership information as
indicated below.

Current Internet Society Membership Number:


Name
Title
Organization/Institution
Postal Address

E-mail Address
Telephone
Fax

Please check the box that best describes your position:
__  Owner/President/CEO/CIO
__  Director/Manager
__  Product Development Manager
__  Systems Manager/Administrator
__  Network Manager/Administrator
__  Marketing/Advertising Manager
__  Engineer
__  Programmer
__  Professor/Associate Professor
__  Researcher/Assistant
__  Librarian
__  Consultant/Self-Employed
__  Student
__  Other

Please check the box that best describes your organization:
__  Network Service 
__  Software Company
__  Information Systems Management
__  Product Provider
__  Educational Institution
__  Nonprofit Organization
__  Public or Private Library
__  Publisher
__  Other

Send this form to:

Internet Society
12020 Sunrise Valley 
Drive, Suite 210
Reston, VA 22091-3420
U.S.A.

--or--

FAX to:  +1 703 648-9887

--or--

Electronic mail:

membership@isoc.org