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Barrie Public Library


 

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?__________________________________________

==============================================================

TYPE OF MEMBERSHIP - [Student___] [Regular___] [Family___]

If Family, -
List OTHER family members__________________________________

To be associated with which SIG? - PC__ Amiga__ C64/128__

==============================================================

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._____________________

==============================================================

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__________________________________________________________

*******************************************************************

FOR OFFICE USE ONLY

Date Received____________________ Received By_________________________

Amount of Membership Fee Paid____ Receipt Number______________________

Membership Start Date____________ Expiry Date_________________________

___________________________________________________________

Return Back to Join Page

 

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PHM May 17, 2010
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