APPLICATION FOR MEMBERSHIP - TACOMA AREA PC USERS GROUP

 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 

NAME_______________________________________________PHONE___________________________

STREET___________________________CITY ____________________ STATE _____ ZIP ________

 * E-MAIL__________________________________________________________________________

HOW DID YOU HEAR ABOUT OUR CLUB ___________________________________________________

 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 
 * Must Supply, (A Valid E-mail Address is needed so you can be Notified of the
   monthly Newsletter when it is ready and online for you.)


MAKE CHECK IN THE AMOUNT OF $30.00, PAYABLE TO "TAPCUG"

SUBMIT TO TREASURER AT GENERAL MEETING OR MAIL TO:

TAPCUG
ATTN: TREASURER
6824 19th. St. W, PMB #170
University Place, WA 8466