Brookdale Computer Users Group, Inc |
Membership Application Print this application, fill it out and send it with check to the Membership Chair |
BCUG is a non-profit corporation organized under the laws of the State of New Jersey principally for educational purposes as specified in Section 501(c)(3) of the IRS Code. New Renewal PC User Mac User |
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Dues payable per year per family. Please Check One: |
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$30.00 $25.00 if 62+ and not working |
| Name:____________________________________________________________________ |
| Address:__________________________________________________________________ |
| City, State, Zip: _____________________________________________________________ |
| Tel:_________________________________ ______________________________________ |
| Fax: ______________________________________________________________________ |
| E-Mail Address:______________________________________________________________ |
Recruiting Member If Applicable_____________________________ |
| Optional: How did you learn about
Brookdale Computer Users Group?
__________________________________________________________________ |
| Affirmation: I/We hereby make application for membership in BCUG, Inc. I/We certify that the information contained herein is correct. |
| Signed: ___________________________________Date:_____________________________ |
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Make checks payable to BCUG and mail to: BCUG
Membership |