Membership Application

*** Please Print Clearly***

New Member ______ Renewal_______

Annual Dues are $20.00, effective for 12 months from the date of application or renewal, make check payable to NWA-PCUG and send to Don Boudeman: 323 Madison 2630, Huntsville, AR, 72740

DATE:______________________

NAME:___________________________________________________

SNAIL ADDRESS:________________________________

CITY, STATE, ZIP CODE:_________________________________________

EMAIL ADDRESS_______________________

DO YOU WANT YOUR EMAIL ADDRESS TO BE PRINTED IN NEWSLETTER ? (Y/N)_____

TELEPHONE:(HOME)_____________________________(WORK)______________________


BUSINESS ASSOCIATION:_____________________________________________________________


TYPE(S) OF COMPUTER(S) USED:_________________________________________________________


AREAS OF INTEREST:__________________________________________________________________

The only criterion for membership is an interest in IBM/PC compatible computers. Members receive the NWA-PCUG Newsletter and have access to the group's Software Library, which has commercial software, books, VHS tapes, and CDROMs available for 30-day evaluation check-out.