If you have problems printing this form, you can download the application to print at your leisure.
Surname: _________________________________________________________________________
Preferred Given Name: ____________________________________________________________
Home Address: ____________________________________________________________________
________________________________________________________ Post Code: ______________
Home Phone Number : ______________________________________________________________
Email Address: ___________________________________________________________________
Date of Birth (Optional): ________________________________________________________
(We like to wish our members a Happy Birthday)
If you own a computer, and know its operating system please list details:
__________________________________________________________________________________
__________________________________________________________________________________
How did you find details of our Club? ____________________________________________
I hereby apply for membership of The Southern Districts Computer Users Club Inc. and agreed to its rules as determined by its Committee.
___________________________________________ _______/_______/______
Signature Date
Current annual membership fees are $18.
Please make all cheques payable to SDCUCI, and post along with a copy of this form to:
SDCUCI
C/O Secretary
PO Box 991
Morphett Vale, SA 5162
