Tulsa Computer Society
Membership Application

[ ] New Member[ ] Renewal[ ] Information Change






Name:
Home Phone:
Mailing Address:
Work Phone:
City:
State:
Zip:
Fax:
Email Address:
Web Page:
Where did you first learn about the Tulsa Computer Society?
Select one SIG (from the list below)
to be considered as your primary SIG


Check all SIGs that you wish to be considered a member of:
( ) Linux Special Interest GroupLx ( ) Midi Music and Multimedia GroupMm
( ) Refurbishing ComputersRe ( ) Web Programming Special Interest GroupIn





TCS Membership Category:
( ) Individual Membership$ 20.00
( ) Full Time Student at ________________________________________12.00
( ) Corporate Sponsor50.00

Mail this form and membership fee to:

Tulsa Computer Society
Attention: Membership Secretary
3110 E 33
Tulsa, OK 74105
Signature:

Date:



Don Singleton, President
don@donsingleton.com