4/26/92 INTERNET SOCIETY The Internet Society is a new international, professional membership organization to promote the use of the Internet for research and scholarly communication and collaboration. The Society provides a forum for government, industry, educators and users to debate and recommend technical standards and procedures for the global Internet and private internets. The Society seeks to advance open scholarship in all countries. THE INTERNET SOCIETY .... - began operations in January 1992 - is governed by an elected Board of Trustees - seeks to encourage international scientific collaboration through networking Joining now will .... - entitle you to the quarterly member newsletter and online information recording important developments in the technical and operational evolution of the Internet - help shape the international agenda for the Society - support Internet Society objectives REGISTRATION INFORMATION ______ Please enroll me as a regular member of the Internet Society and bill me for $70 in annual dues. ______ Please enroll me as a student member of the Internet Society and bill me for $25 in annual dues. I am enclosing proof of student enrollment (copy of valid identification card or copy of current tuition bill) which shows my eligibility for student membership. I understand that student membership is only available to fulltime students in a degree granting program. Name: _____________________________________________________________________ Postal Address: __________________________________________________________ __________________________________________________________ Phone Number: ______________________ Fax Number: __________________________ Internet Address: _________________________________________________________ Mail, fax, or e-mail this form to: Individual Membership Registration Internet Society 1895 Preston White Drive Suite 100 Reston, VA 22091 USA Phone: +1 703 648 9888 Fax: +1 703 620 0913 E-mail: isoc@isoc.org