ACGNJ Membership Application

Abbreviated Electronic Form

Printable Form

Print out this form and mail it to the ACGNJ at PO Box 135, Scotch Plains, NJ 07076 with a check for the dues, or hand the form in at a meeting.

Dues

	   US/CANADA  FAMILY OF MEMBER  FOREIGN  STUDENT  SENIOR CITIZEN
                      (No Newsletter)                     (Over 65)
1 Year     $25        $10               $55      $20      $20
2 Years    $40
3 Years    $55                                            $45


Print and mail completed application along with your check to:

    AMATEUR COMPUTER GROUP OF NEW JERSEY, INC.
    P.0. BOX 135
    SCOTCH PLAINS, NJ 07076

	O New Member		O Renewal		O Address Change

First Name ____________________________________________________________

Last Name______________________________________________________________

Phone_______________________________

Mailing Address_________________________________________________________

E-Mail_______________________

Town_______________________________	State_________	Zip_____________

URL________________________________


O Do not list me in the Membership Directory. 
  (Street addresses are not listed in the directory.)

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

CLUB ACTIVITIES
Would you speak at a club meeting?    O NO     O YES     

                                 Topic_________________________________

Can you help with the club?   

      O General  O Newsletter   O Meetings   O User Group   O Software

What can you do?_______________________________________________________


At the next TRENTON COMPUTER FESTIVAL      

O I would like to be a volunteer. Please have a club member contact me.

O I would like to be a speaker. Topic__________________________________

Comments_______________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________