MEMBERSHIP APPLICATION FORM

 

HAWKESBURY SENIORS COMPUTER GROUP (H.S.C.G.)

 

 

Surname...........................   Contact in Emergency

 

Given Name......................    Name.......................

Address..........................     Phone......................

........................................................................    

Postcode............

Phone....................       E-Mail........................

Do you hold a Seniors Card.......         

Do you have a computer?.........

If Yes-- give some details of the computer & programmes ........................................................................

..........................................................................

Is there anything you particularly want to learn? ..........................................................................

Signature............................................................

OFFICE USE ONLY

Quarters 1Jan/31 March  1April/30 June  1 July/30 Sept.  1 Oct/31 Dec.

HSCG Receipt No..............Computer No..........

Date............................... Date paid to .....................

Senior Receipt No ..........