Greater Cleveland PC Users Group


  PayPal Online Membership Application

Please fill out and submit this Online Membership Application before proceeding to pay through PayPal.
Membership fee is:

  • $35 (General Membership)
  • $15 (full-time student rate)

per year. (* = required field.)
Please fill out all fields so we can serve you better.
*First Name:
*Last Name: 		New Renewal (check one)
$35 General Member (check one)
$15 full-time Student Rate
        School attending:
*Address 1:
  Address 2:
*City: *State: *Zip+4:
(zip+4 necessary for proper delivery)
Is this a company address? YES NO   NOTE: Check YES if company address is mailing address.
Home Phone: ( ) - Email (primary):
(Please provide email address to receive confirmation.)
Work Phone: ( ) - Email (secondary):
Fax:
Company: Title/Occupation:
How did you hear of the GCPCUG? (If member referred, print name of member):
If our membership list is used for a non-GCPCUG mailing, do you wish to opt out? YES NO (Check one)

How do you use computers?
(Check all that apply)

MIS / IT
Programmer / Developer
Web Designer
Consultant
Trainer
Work Related / End User
Home User / Hobbyist
Other (fill in text field)

We always need volunteers - interested in getting involved?
Yes No

Not Now Current Volunteer (Check one)

If yes, please review the committees below and check all that interest you. We will contact you to find an appropriate committee for you to work with. Feel free to call any Board Member to find out more about a particular committee.

PC Chronicles (newsletter)
Marketing / Public Relations
Web site resource
Product Reviews for Newsletter
Special Interest Groups (SIGs)
Facilities (SIG locations)
Membership
Member Benefits (Special Offers)
Members Assisting Members (MAM)
Trade Shows
Help at Meetings / Special Events
Other Volunteer (fill in text field)

Comments:

Thank you for filling out this Online Membership Application. Filling it out completely helps us learn how to serve you better. (* = required field.)

New members: You will receive your first issue of PC Chronicles within 4-6 weeks. Your annual membership fee entitles you to a 12-month subscription to our newsletter, free attendance to all GCPCUG functions, and participation in any members-only raffle. A portion of the membership fee covers costs for the newsletter subscription. (For more information, contact Lori Berenson, Membership Coordinator, at 216-373-7788 or lorib@mail.org.) Thank you for joining!

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