Click in a box, fill out the form, print and mail - with a check for $20 - to

KITSAP COMPUTING SENIORS, P. 0. BOX 3166, SILVERDALE, WA 98383-3166

 

MEMBERSHIP APPLICATION

 

Name

Phone

Date

Address

City

State

ZIP

Email

Do you own:            PC

MAC

Where did you hear about KCS?

What are your special computer interests?

Comments:

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • CLUB USE • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

Dues Received  $20     Received by                                                                 Date