* 1. How long have you been an ARIN member ____months or years

* 2. Are you planning to renew this year?

* 3. If the answer was No or Not Sure on Question 2, please check reason:

* 4. What does ARIN offer that is of value to you? (Check all that apply)

* 5. Do you belong to a chapter?

* 6. What chapter do you belong to?

* 7. Who is the president of your chapter?

* 8. Who is the secretary of your chapter?

* 9. Is there a chapter a reasonable distance from where you work or live

* 10. Would you be interested in helping to start a new chapter in your area?

* 11. What are items you would like ARIN to offer that would enhance your experience as a member?

* 12. What is your age?

* 13. What are your credentials?

* 14. If you would like to be contacted by ARIN regarding starting a chapter or any other item, please leave your name and contact information.

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