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 choose the Join the Internet Society form at: Please note that this page only works if your browser supports forms.

If you cannot or do not want to use this form, you may alternatively obtain an Information Update template at which you can complete and send yourself by fax (+1 703 648 9887) or email (

This is a form for: Information Update 

Please enter your member number and family (last) name.


Is this membership for a Library? Yes No
    Are you a member of the Press?Yes No

As a member, do you:  Wish to receive all official member EMail and post mail materials
                      Wish to receive only official post mail materials; and no EMail
                      Wish to receive no mailings of any kind

                   Mr Ms Mrs Dr Prof M Prof Dr Dip Ing Ing Miss Mlle
First Name:        
Init./Middle Name: 
Family Name:       
                   sr jr II III PhD 

Your title:        
Your affiliation:  
Your address:      
State or Province:  Postal Code: 

Tel (work) Number: Tel (home) Number: Fax Number: EMail address:

To submit this form and provide information

Push the following to automatically email to ( :

If you want to terminate this session, push the following:

Thank you.