ACGNJ - Membership Application Form

ACGNJ is the oldest personal computer club and user group in the world.

Amateur Computer Group of New Jersey

Join ACGNJ Online:

Membership Application

Use this form to join ACGNJ or renew your membership, and optionally pay your dues online, or to update your membership information.

Term/Type	US/Canada	Foreign	Student	Senior Citizen (Over 65)
1 Year	$25	$55	$20	$20
2 Years	$40	-	-	-
3 Years	$55	-	-	$45
Change of Address (ONLY)

New Member			Renew Existing Membership

Please provide the requested information below to join the ACGNJ or to give us an update on your personal information, such as an address change.
A First and Last Name and E-Mail address are required to submit the form. *- Required! We would appreciate all fields!

First Name:	*
Last Name:	*
Street Address
or PO Box:
City:
State:
Zip Code:
Country:
E-Mail:	*
Your Website URL:
Phone:

What topics would you like to see covered at club meetings?

Comments

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