Membership Application / Change of Member Information

Meetings are held on the 1st Thursday of each month at 2:00 pm (help desk at 1:00 pm)
Donald W. Reynolds Library
Print the completed form and include with payment, which may be mailed to the below address or you may bring it with you to the next club meeting. We look forward to having you with us.

Date:                             _____________________________

Name:                           __________________________________________________________
                                        (Please print name as you want to appear on your name tag)

Spouse:                         __________________________________________________________

Residence Address:       __________________________________________________________

City, State, Zip:            __________________________________________________________

Phone:                          __________________________________________________________

Email Address: Self       __________________________________________________________

Spouse Email Address:  __________________________________________________________

Comments:                    __________________________________________________________


What is your computer experience level?  (Circle one)

            Beginner         Intermediate         Advanced          Professional

Would you like a mentor to assist with computer related problems?  (Circle one)

            No, Thank You           Yes, Please            I could be a mentor

How did you find out about T.L.C.U.G?  ____________________________________________

Dues are $20.00 per household for the first year and $15.00 each year thereafter if paid by December 31st. Renewal dues paid after December 31st will be $20.00. New members who join after October 1st will be considered as paid member through the following calendar year.

Method of payment: Cash __________ or Check #_________ (Payable to TLCUG)

If you pay by mail, please send your check and completed application to:

Twin Lakes Computer Users Group
PO Box 571
Mountain Home, AR 72654


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