| [ ] 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? | |||||||||||||||||
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Select one SIG (from the list below) to be considered as your primary SIG | |||||||||||||||||
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| Check all SIGs that you wish to be considered a member of: | |||||||||||||||||
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TCS Membership Category: | |||||||||||||||||
| ( ) Individual Membership | $ 20.00 | ||||||||||||||||
| ( ) Full Time Student at ________________________________________ | 12.00 | ||||||||||||||||
| ( ) Corporate Sponsor | 50.00 | ||||||||||||||||
Mail this form and membership fee to: | |||||||||||||||||
| Tulsa Computer Society Attention: Membership Secretary 3110 E 33 Tulsa, OK 74105 | |||||||||||||||||
| Signature: |
Date: | ||||||||||||||||