For ASQ members:

Type your first name:

Last Name:


Member #:
Section Name or Number you belong to:

Would you be interested in receiving information by e-mail about section events?:

YES
NO

If you said yes please give us your e-mail address:


Please answer the following only if you are a member of the Los Angeles Section (Section 0700):

In an effort to service our members better and potentially reduce costs we are investigating ways to disseminate and make available section information other than the traditional means such as direct mailings. This includes faxing, faxback, e-mail, website.

Would you be interested in receiving regular section information, specifically the newsletter and announcements to monthly meetings by one of these means?

YES
NO

Which method is most suitable to you?:

Periodic Fax to your location
Capability to access a Faxback system to retrieve information
Periodic e-mail to your address
Have the the information on a Website

If this method was available would you be willing to stop receiving the current mailings (newsletters and section meeting announcements):

YES
NO

Would you be interested in volunteering for section activities?:

YES
NO

If you said yes please give a phone number to contact you and check off activities/committees you may be interested in volunteering for:
Area Code
Phone Number
Web Page Development/Maintenance
Newsletter
Programs
Jobs placement
Membership

ENTER YOUR QUESTIONS/COMMENT HERE

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