Prescott Mac User Group

PMUG Application

Fill in the form below. When completed, click the Print button at the bottom. Mail the completed form with a check for $20 (for family or individual membership) payable to Prescott Mac User Group to the PMUG Secretary at the address at the bottom of this page, or bring the completed form and your check to the next general or Special Interest Group (SIG) meeting. The form contents will be discarded when browsing to any other page.

You: First Name: Last Name: Preferred name on badge:

Your Spouse/Partner: First Name: Last Name: Preferred name on badge:

Contact Information:

Street Address:
City:		State:		ZIP:

Email Address:
Daytime Phone:		Evening Phone:

 

 

 

 

Computer Information

Model of Macintosh You Use:
Primary Operating System:	Mac OS X, Version:		Mac OS 9
Other: (please specify)

Internet Access:
Cable Modem	DSL	Dial-Up	I don’t have access

What are your special computer interests? (before printing, resize text area to show all lines  - lower right corner.)

 

How did you hear about PMUG? (if by a member, please enter name)

 

Anything else you want us to know about you? (before printing, resize text area to show all lines – lower right corner.)

Mail completed form with check to: