Membership Record Update and New Member Request Form


Use this form to update your membership record or enter information to become a new member. The data will be entered into our membership data base.

Our annual membership fee is $25. You can pay at the next meeting or send your check to our address listed above.

Join today!


Name and Address
Name
Address
City State Zip
Contact Information
E-Mail Address
Confirm E-Mail
Home Phone
Work Phone
Fax
Hardware Information
Computer(s)
Printer(s)
Drive(s)
Monitor(s)
Other Hardware
Software Information
Operating System
Word Processor
Data Base
Spreadsheet
Graphics
Financial
Communication
Other Software
Additional Information
Special Interests
Comments
Blue Fields are Required
Security Code
Enter Security Code