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Date: Mon, 31 Jul 2006 09:56:09 -0400
From: David Solomonoff <[log in to unmask]>
Reply-To: [log in to unmask]
Organization: Internet Society of New York
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Subject: MEMBERSHIP APPLICATION
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Check for dues will be sent by snail mail upon acknowledgement of 
receipt -- David

MEMBERSHIP APPLICATION
ICANN GNSO Non-Commercial Users Constituency (NCUC)


To:     NCUC Secretariat
    c/o The Convergence Center
    Syracuse University School of Information Studies
    307 Hinds Hall
    Syracuse, NY 13244 USA
    [log in to unmask]
Please provide the following information and send it to the address 
above, preferably in electronic form by email. For details and 
questions, please refer to the NCUC charter at 
http://www.ncdnhc.org/current_charter.htm  first.

A) Organisation Details
Name of the Organization:
Internet Society of New York
Name of the Director:
David Solomonoff, President
Domain Name of the Organization:
isoc-ny.org
Mailing Address of the Organization:
Internet Society of NY
P. O. Box 1599
New York, NY 10165
Email address of the organization:
[log in to unmask]

B) Representatives

We designate the following person as our official representative in NCUC:
Name: Danny Younger

Telephone Number: 212 255 4224

E-mail address: [log in to unmask]

We designate the following person as our alternate representative in NCUC:
Name: David Solomonoff

Telephone Number: 718 270 7428

E-mail address: [log in to unmask]


C) Type of membership

 _X__    Small Organization (under 1000 members or under 200 employees / 
dues: US$ 50 for two years)

 ___    Large Organization (1000 or more members or 200 or more 
employees / dues: US$100 for two years)
 
 ___    Request for membership fee waiver. As requested, we attach our 
budget details and explanation
    Membership dues must arrive to enable membership rights unless the 
Executive Committee issues a waiver.

-- 
David Solomonoff, President
Internet Society of New York
[log in to unmask]
isoc-ny.org