ACT Apple Users Group Incorporated Membership Application Form

Please print and mail one per person

CHOOSE ONE
Single membership - 1 year
[....]
With emailed PDF newsletter (about 1 megabyte)
$30
[....]
With paper newsletter mailed to your address $60
Organisation membership - 1 year
[....]
With emailed PDF newsletters (about 1 megabyte)
$30 first membership
[....]
 $20 additional
[....]
With paper newsletters mailed to organisation address
$60 first membership
[....]
 $50 additional

Name:______________________________________________
Organisation (if applicable): ______________________________________________
Email: ______________________________________________
Alternate email (if any): ______________________________________________
Street: ______________________________________________
Suburb/Town: ______________________________________________
State: _________
Post Code: _________
Daytime Phone Number: __________________________
Evening Phone Number: __________________________
Number Of Computers Owned: _________
Types Of Computer Owned: ______________________________________________
Operating System/s: ______________________________________________
 (Optional) Nominated by: ______________________________________________
How did you find out about ACTApple?: ______________________________________________
Amount Enclosed: $_____.__
Cheque Number: _________
Signed: __________________________

Please print out and forward this completed application form together with your payment to:
ACT Apple User's Group
GPO Box 1231
Canberra ACT 2601

or alternately, just come along to one of the monthly meetings and join there.