Front Range PC Users Group Membership Application

Print this using your browser's print function (i.e. in Netscape, you would
click on File, then Print).  Complete and mail along with your check to the 
address listed below.

First Name:_______________________ M.I.____ Last Name:_____________________
  
e-Mail Address:____________________________________________________________
                                                      
Home Address:______________________________________________________________
                                                      
City:__________________________ State:__________________ Zip:______________

Company (Optional):________________________________________________________

Company Address:___________________________________________________________

Use Company Address for Mail?   YES [  ]    NO [  ]

Home Phone: (____) ________________  Business Phone: (____) _______________

Computer Make & Model:_____________________________________________________

Printer Make & Model:______________________________________________________

Software which you use:(Info used to match users for help, seminars, etc.)

Word Processing:_______________________ Database:__________________________

Spreadsheet:___________________________ Accounting:________________________

Programming:___________________________ Browser:___________________________

Desktop Publishing:________________________________________________________

Any Others?________________________________________________________________

Computer Use:   HOME [  ]   BUSINESS [  ]

Computer Skill Level: NOVICE [  ] BEGINNER [  ] EXPERIENCE [  ] PRO [  ]

Operating System: WIN95/98 [  ]  WINXP/2000 [  ]  UNIX [  ]  OTHER [  ]

Specific Areas of Interest:________________________________________________

Date of Application:____________________________

Monthly General Forum Meetings held the first Tuesday of each month
at 7 PM at the Fort Collins Senior Center, 1200 Raintree Dr.

Dues are $25.00 per year for individual memberships.  Our renewal date is 
November and dues are prorated.  So figure $2/month + $1 when enclosing
your check.  Example for the month June - $11.  Group or corporate
memberships are $50.00 per year.

Mail application and check (made payable to: FRPCUG) to
		FRPCUG
		PMB #152
		305 West Magnolia Street
		Fort Collins CO 80521

Thanks for your support!