Long Island PC Users' Group

*** e-mail info@lipcug.org ***

Serving Long Island Since 1981

Application - Just send the page to printer

Date:___________________

Name:___________________________________________________________________

Address:_________________________________________________________________

City: ____________________________________ State:_______   Zip:_________-_______

Home Phone:__________________________________

Business Phone:________________________________

New Member ( Y / N ): If renewal, your Membership

 Number:___________________________

Computer  and /or type owned:_________________________________________________________________

E-mail address to receive Meeting Information and updates:________________________________________

For Member: Fill in this application, or a facsimile thereof and either submit it with a check in the amount of $24.00 payable to the Long Island PC Users Group at the next meeting or mail to:

• Sue Eckers
  11 Blythe Place                       
  East Northport NY 11731
  
  Thank you,