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*                                                                              *
*                        COMPULINK UK USER GROUP                               *
*                      MEMBERSHIP APPLICATION FORM                             *
*                                                                              *
*           TYPE OF MEMBERSHIP REQUIRED :- PERSONAL /CORPORATE                 *
*                                                                              *
*              PERSONAL                                  CORPORATE             *
*  NAME:___________________________        COMPANY:__________________________  *
*  ADDRESS:________________________        ADDRESS:__________________________  *
*  ________________________________        __________________________________  *
*  ________________________________        __________________________________  *
*  POST CODE:______________________        POST CODE:________________________  *
*  TELEPHONE:______________________        TELEPHONE:________________________  *
*                                                                              *
*  ALL COMMUNICATIONS WILL BE SENT                  CORPORATE MEMBERSHIP       *
*       TO THE ABOVE ADDRESS                   NAME UP TO FIVE PERSONS BELOW   *
*                                                                              *
*         MEMBERSHIP FEES:                   1:______________________________  *
*         ~~~~~~~~~~~~~~~~                   2:______________________________  *
*        PERSONAL :- #16.50                  3:______________________________  *
*        ~~~~~~~~~~~~~~~~~~                  4:______________________________  *
*        CORPORATE:- #52.00                  5:______________________________  *
*        ~~~~~~~~~~~~~~~~~~                                                    *
*                                                                              *
*     PERSONAL / CORPORATE MEMBERSHIP TO COMMENCE:__________________________   *
*                                                                              *
*                         MEMBERSHIP FEE ENCLOSED:__________________________   *
*                                                                              *
*   ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~   *
*                                                                              *
*        PLEASE HELP US TO HELP YOU, FILL IN THE DETAILS BELOW                 *
*                                                                              *
*        MAKE OF COMPUTER:____________________________________                 *
*        OPERATING SYSTEM:____________________________________                 *
*        SIZE OF DISKETTE:____________________________________                 *
*         MAKE OF PRINTER:____________________________________                 *
*           MAKE OF MODEM:____________________________________                 *
*                                                                              *
*                 ALL INFORMATION HELD IN STRICTEST CONFIDENCE                 *
*   ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~   *
*                                                                              *
*            MEMBERSHIP IS VALID FOR ONE YEAR FROM THE ABOVE DATE              *
*         CORPORATE MEMBERS NOT WISHING TO NOMINATE ALL FIVE PERSONS           *
*          AT THIS TIME MAY ADD THE REMAINING NAMES AT A LATER DATE            *
*                                                                              *
*                     PLEASE MAKE CHEQUES PAYABLE TO                           *
*                      " COMPULINK UK USER GROUP "                             *
*                     AND MAIL TO THE ADDRESS BELOW                            *
*                                                                              *
*                        COMPULINK UK USER GROUP                               *
*                             2 ABBEY CLOSE                                    *
*                         CIPPENHAM, NR SLOUGH,                                *
*                            BERKS, SL1 5HZ.                                   *
*                                                                              *
*                       TEL. BURNHAM (06286) 63571                             *
*                                                                              *
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