KMUG Membership Form

KMUG Membership Application/Renewal Form

(Please Fill Out This Form Completely)

You may "Submit" the following form from this web site or print this page and mail the completed form to:

KALAMAZOO MACINTOSH USER GROUP
640 Weaver Ave, Kalamazoo MI 49006-5560

Whether New or Renewal, use this form any time for comments or changes to our records.

Last Name: First Name:

Street:

City: State: Zip:

Home Phone: Work Phone:

Home Fax: Work Fax:

E-Mail Address(es):

Computer(s):

System Version (e.g. 8.6, 9.2.2, 10.5.6): User Level:Beginner Intermediate Advanced

Main Software Used:

Professional Interests:

Comments:

Dues: Your $24.00 membership entitles you to 12 (monthly) issues of the KMUG Newsletter, purchase discounts
and voting privileges. Your membership expiration date will be printed on your mailing label. Please renew before
your expiration date. Dues may be paid at meeting or mailed to: KALAMAZOO MACINTOSH USER GROUP,
640 Weaver Ave, Kalamazoo MI 49006-5560

Annual Dues: $24.00 Donation: $ Total Paid: $ Payment by: Cash Check

Check No.: Date mailed or paid:

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For more information contact the Kalamazoo Macintosh User Group, 2227 Lorraine Ave., Kalamazoo, MI 49008
or call David Field at 269/345-6710. Send E-mail to KMUG
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