Greater South Bay PC User's Group

P.O. Box 6950

Torrance, CA 90504-0050

 

For information, call 310-373-3989

 

Membership Application

(Please print legibly)

 

Name: ___________________________________________________

 

Address: _________________________________________________

 

City: __________________________ State: ____ ZIP: ____________

 

Phone: Day: _________________      Evening:  __________________

 

Email Address: ____________________________________________

 

FAX:  _______________________

 

I was referred to GS-BUG by: _________________________________

 

Special Interests/Hobbies: _________________________________________________________                                                      

 

How can the club be most useful to your wants and needs?

_________________________________________________________

 

_________________________________________________________

 

Make check payable to: GS-BUG Inc.

 

Dues for Individual, one year $36.00, two years $65.00;

    Family one year $48.00, two years $86.00;

    News Letter Only $18.00/Year.

 

Date:________ Rec. CASH______ CHECK #: ______ Member I.D. ______

New Member: ______   Renewal: ______   Expires: ____________

 

Make Check Payable to: GS-BUG Inc; (membership) and mail to:

GS-BUG Inc (membership)

P.O. Box # 6950

Torrance, CA 90504-6950