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Apply for Membership
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Membership Application
TYPE OF APPLICATION: (Non-Senior and
Senior memberships include immediate family.)
Check One:
o
Non–Senior
o
Senior (65+ with proof of
age) o
Student (Full time with
copy of valid ID)
Check One:
o
New
o
Renewal
PERSONAL INFORMATION:
Last Name:
___________________________________ First Name:
______________________ Initial: ____
Street Address
___________________________________________________________________________
City:
_____________________________________________ State:
________ Zip: ____________
Phone: Day: ______________________
Evening: _______________________
Email:
______________________________________________________________________________
I
o
do
o
do not wish to
occasionally receive vendors’ promotional material or e-mail
solicitations.
CCS Membership dues are $40 per year
($30 forSeniors [65+] or Students)
MEMBERSHIP DUES ENCLOSED:
________________ (Check or Money Order)
Make Check payable to: THE CHICAGO
COMPUTER SOCIETY
Mail to:
The Chicago Computer Society,
P.O. Box 159, LaGrange, IL 60525-0159
Please allow 2+ weeks to process this
application and 6 weeks to receive your first Hard-Copy
Where did you hear about CCS
CCS Member:
__________________________________________________
Other:
_______________________________________________________
_____________________________________________________________
_____________________________________________________________
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Any way you look at it, your Chicago Computer Society
membership is a great value!
Membership includes access to CCS
monthly eHard-Copy journal, discounts on our Education Programs, participation in
our Special Events, and many other benefits.
Payments can be made in one of
the following ways:
To Join
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1. Pay by credit
card or PayPal -
select
here
(Page does not have to be printed and mailed to
CCS
2. Pay by check or cash -
print
this page on your local printer, then
FILL IN
THE BLANKS
and
MAIL it in along with your check
made payable to The Chicago Computer Society
Mail To:
The Chicago Computer Society
PO Box 159
LaGrange, IL 60525-0159 |
It will take approximately two weeks to process your
application and six weeks to start receiving your first issue of Hard-Copy, the
Society's award-winning monthly journal.
Thanks for your application and welcome aboard!
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