Have you moved recently? Changed jobs? Job Titles? To make sure we have the most accurate information, use this form to confirm your membership in the
SIG!
Name:
Title :
Affiliation :
Street Address :
City :
State :
Zip Code :
Phone :
Fax :
Email :
Please print out this form and mail to Joanne Doucette, 179
Longwood Ave.
Boston, MA 02115. Please email any questions to Joanne.
