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* 1. Name

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* 2. Email

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* 3. Confirm email

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* 4. What are the most important issues or developments (three to five) in your country or area of interest for the Internet's evolution and Internet users over the next 3-5 years? (Please answer in 250 or fewer words.)

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* 5. What actions could be taken by your organization or Chapter to address or respond to these issues? (Please answer in 250 or fewer words.)

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* 6. What actions could be taken by the global Internet Society community and organisation to address or respond to these issues? (Please answer in 250 or fewer words.)

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* 7. Are there any other factors the Internet Society Board of Trustees and executive team should consider as they prepare for the next 3-5 years? (Please answer in 250 or fewer words.)

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