1 What type of PC do you own (or have convenient use of) that you do or could use for web access ?

2 Is your Web access via Modem and/or Network (leave blank if you do not have access)

3 Do you regularly access the IEEE Web site ? Yes No

4 Do you have any comments (etc) you would like to share with IEEE about using the Web for IEEE activities ?

Please identify yourself

5 Enter your full name

6 Enter your IEEE member number

7 Check your membership grade
Fellow , Senior Member , Member , Associate Member , Student Member Not yet a Member

8 Enter your e-mail address (or IEEE alias)