Survey : Questions

	This is the form for submitting suggestions for news items for CIC's home page. Please note that only items of interest to CIC members (as determined by the CIC web site editor) will be accepted. CIC also reserves the right to edit or revise content submitted.

1.	What is the title for this news item?
	50 characters left.

2.	What is a brief description of the news item?
	50 characters left.

3.	What is the longer description to include on the follow-on page?
	1000 characters left.

4.

Are you or your organization a member of CIC?

I am an Individual Member

I am a supporting Individual Member

I am a Student Member

I belong to an organization that is an Organizational Member of CIC

I am not a CIC member

Comment:
500 characters left.

5.

Please enter the information indicated below in case we have questions about the news item submitted. Note - items that are submitted without this contact information will not be accepted.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Company Name:
Email Address:	emailaddress@xyz.com
City:
State/Province (US/Canada):