Membership Application

Date:
1. Individual Membership
LAST NAME
ADDRESS

Computer Booters of Sun Lakes AZ
FIRST NAME
PHONE
2. Dual Membership/Family
1. Fill-in this form then print it out and mail it with your check [made payable to
Computer Booters of Sun Lakes] to:
Guy Laroche 23817 S Berrybrook Dr Sun Lakes AZ 85248-6217
2. Please do NOT staple your check to this form.
3. New Club Membership cards will be available at the club meetings
EMAIL
EMAIL
LAST NAME FIRST NAME
CITY STATE
ZIP Code
Nickname
for Badge
Nickname
for Badge
PHONE
Single New Membership $36 Individual Renewal Membership $ 36
Family New Membership (2 People) $48 Family Renewal Membership (2 People) $48
Lifetime Individual Membership $ 200
Lifetime Family Membership (2 People) $300
I/We want to help make the club better by Volunteering
Presenter Handle Microphones for Q & A Member Assistance
Setting up/Taking down equipment Assisting The Volunteer Coordinator
Other Volunteer Interest
[Please Specify]
YES NO Are you an all year Sun Lakes Resident
Website
Computerbooters.org
Please check the appropriate membership selection below