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Date: Mon, 31 Jul 2006 09:56:09 -0400
From: David Solomonoff &lt;president@isoc-ny.org&gt;
Reply-To: president@isoc-ny.org
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
    Mueller@syr.edu
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:
president@isoc-ny.org

B) Representatives

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

Telephone Number: 212 255 4224

E-mail address: dannyyounger@yahoo.com

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

Telephone Number: 718 270 7428

E-mail address: president@isoc-ny.org


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
president@isoc-ny.org
isoc-ny.org

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