Southern Districts Computer Users Club Inc.
Application for Membership
If you have problems printing this form, you can download our Membership Application to print at your leisure.
Surname: _____________________________________________________ Preferred Given Name: ___________________________________________ Home Address: ________________________________________________ Post Code: ______________ Home Phone Number : _________________________________________ Email Address: _______________________________________________ Date of Birth (Optional): ______________ (We like to wish our members a Happy Birthday) If you own a computer, and know its operating system please list details: ______________________________________________________________ ______________________________________________________________ How did you find details of our Club? ____________________________________________
I hereby apply for membership of The Southern Districts Computer Users Club Inc. and agreed to its rules as determined by its Committee.
___________________________________________ Signature _______/_______/______ Date
Current annual membership fees are $20.
Please make all cheques payable to SDCUCI, and post along with a copy of this form to:
47/89 Serafino Drive
Noarlunga Downs SA 5168