CCHSV Membership Application

  New Member         Renewal        Update Information



Enter the name of household members who wish to join:

Name 1:       Email: 

Name 2:       Email: 

Address:     Home Phone: 

Please check each person's experience level:

Beginner
1         2		 Intermediate
1         2		 Advanced
1         2		 Instructor
1         2
Windows XP
     
     
     
     
Windows Vista
     
     
     
     
MS Office Suite
     
     
     
     
OpenOffice Suite
     
     
     
     
Photo Editing
     
     
     
     
Email / Internet
     
     
     
     
Other:
     
     
     
     
     
     
     
     

Make your check payable (no cash please) to Computer Club of HSV for $15.00 (includes all household members). The half-year dues are $8.00 starting July 1. Bring this application and your check to a meeting or mail to Ted Elzerman, 18 Sosegado Lane, HSV 71909.

Date:     Amount Enclosed:  $   Check Number:  


Important note: Before printing, change your printer setting to Shrink to Fit.