Brookdale Computer Users Group, Inc. (BCUG)

Membership Application

Just print out this application, fill it out and send it to the Membership Chairperson
BCUG is a nonprofit corporation organized under the laws of the State of New Jersey principally for educational purposes as specified in Section 501(c)(3) of the IRS Code.

Type (Check One):

New Application

Renewal Application

Dues (Check One):

$25.00 per year

$20.00 per year
- if over 62 (and not working)

Name:

Address:

City:

State:

Zip:

Phone:

Fax:

E-Mail:

Affirmation:

I/We hereby make application for membership in BCUG, Inc. I/We certify that the information contained herein is correct and agree to be bound by the rules and regulations of the Group.

Signed:

Date:

Signed:

Date:
Please note "MacWaves MUG" on the memo line of your check to indicate your interest in Macs.
Make checks payable to BCUG and mail to:
BCUG/MacWaves Membership
c/o Paula Greenberg
2 Briscoe Terrace
Hazlet, NJ 07730-1128