Main Line Computer User Membership Form

Name:				   Date:
Address:			   Home Phone:
City:				   Work Phone:
State:          Zip:

1. Are you a novice ____, intermediate ____, or expert ____ computer user?

2. Own 64 ____, 128 ____, Amiga ____, PC____.  Which Amiga/PC___________?

3. What other equipment do yoou have?
   Disk drive(s)/types(s) _____________________ CD-ROM________________
   Modem/type ____________________________
   Printer/type___________________________
   Mouse ______________ Joystick__________Trackball_______________
   Others_________________________________________________________

4. What kind of programs/activities are you interested in? ________________
___________________________________________________________________________
___________________________________________________________________________

FOR NEW MEMBERS, dues are $15 if you join in Oct -> Mar. $12.50 if you
join in Apr -> June, or $10.00 if you join in Jul -> Sept.

Make check payable to MLCUG and send it to:
     Dewitt Stewart, Treasurer
     45 E. Providence Rd.
     Yeadon, PA  19050