BARRIE USERS GROUP (BUG)
P.O. BOX 20254, BARRIE, ONT., L4M 6H2
ANNUAL MEMBERSHIP APPLICATION
(Save page & PRINT clearly, or fill-in on computer & print it out)
Name __________________________________
Address________________________________
City_________________________
Prov_______
Postal Code________________
Telephone____________________
Telephone number unlisted? No___ Yes____
E-mail address _________________________________________________________
Where did you learn about BUG?__________________________________________
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TYPE OF MEMBERSHIP - [Student___] [Regular___] [Family___]
If Family, -
List OTHER family members__________________________________
To be associated with which SIG? - PC__ Amiga__ C64/128__
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COMPUTER INFORMATION-In the section for your computer, please fill in the model, speed, type, size, etc.
PC
CPU_____MHZ, Monitor____, Ram____Meg,
Modem_____Baud, CD-ROM_____Speed
Hard Drive(s)______________Meg, Sound Card ___________________________
Printer___________________ Other Equip._______________________________
Floppy Drive A: 5.25__or 3.5__, High (1.4m)__or Low Density (720k)__
Floppy Drive B: 5.25__or 3.5__, High (1.2m)__or Low Density (360k)__
Dos ver.________, Windows ver._________, OS/2 ver._______
AMIGA
Model_____________,Monitor______, Drive(s)_____________, Ram_____Meg
Printer___________,Modem_____Baud, Other Equip________________________
C64/128
Model_________,Monitor_________,Drive(s)__________, Ram Drive__________
Printer_____________,Modem______Baud, Other Equip._____________________
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COMPUTER KNOWLEDGE - Programmer - Beginner___, Intermediate___, Expert___
- User Level- Beginner___, Intermediate___, Expert___
PROGRAM INFORMATION (Please fill in the name(s) and version number of the programs that you use.
Word Processor(s)_________________, Spread Sheet________________________
Data Base_________________________,Communication/Browser___________
Educational________________________________________________________
Games______________________________________________________________
Other Programs__________________________________________________________
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FOR OFFICE USE ONLY
Date Received____________________ Received By_________________________
Amount of Membership Fee Paid____ Receipt Number______________________
Membership Start Date____________ Expiry Date_________________________
___________________________________________________________
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