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- ACGNJ MEMBERSHIP APPLICATION
- Amateur Computer Group of New Jersey
- PO Box 319
- South Bound Brook, NJ 08880
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- █ ▌ Ne≈ Membe≥ Due≤ arσ ñ14.00
- [ ] Renewal Foreign air mail 27.00
- [ ] Address change
- Please make checks payable to ACG-NJ
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- First name:__________________ Last name: _______________________
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- Mailing Address: ________________________________________________
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- City: ___________________ State: _____ Zip: ______ Country: _____
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- Business phone: (___) ___-____ Home phone: (___)___-____
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- [ ] Do not list me in the Membership Directory
- [ ] Electronic Engineer [ ] Chemical Engineer [ ] Programmer
- [ ] Student [ ] Electronic Tech [ ] DP Manager
- [ ] Systems Analyst [ ] Consultant [ ] Teacher
- [ ] Other, specify ____________________________________________
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- Who is your employer:__________________________________________
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- PART II:
- What topics would you like covered at club meetings:
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- Would you like to speak at a club meeting? [ ] yes [ ] no
- Topic(s):
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- Can you help the club? [ ] general [ ] newsletter [ ] festival
- [ ] meetings [ ] user group
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- What can you do?
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- PART III
- Central Processing Unit
- 8088 Z80/8080 6800/09 6502 Misc
- [ ] IBM-PC [ ] TRS-80___ [ ] SWTP 6800 [ ] Apple_____ [ ] 1802 ____
- █ ▌ IBM-X╘ █ ▌ TDL/Xitaε █ ▌ SWT╨ 680╣ █ ▌ Kim-▒ █ ▌ T╔-9900
- [ ] IBM-JR [ ] HB [ ] TRS-80 Color [ ] Comm _____ [ ] 8085
- [ ] Compaq [ ] IMSAI___ [ ] HB [ ] HB [ ] 68000
- [ ] Columbia [ ] North Star [ ] Mot EK [ ] Atari __ [ ] Z8000
- [ ] Seequa [ ] Altair [ ] Heath [ ] AIM [ ] DEC _____
- [ ] other* [ ] other* [ ] other* [ ] other* [ ] other*
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- *Specify:____________________________________________________________________
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- Peripherals
- Printer CRT Term Disk Misc
- [ ] TTY Mod:________ [ ] ADM _______ 5" 8" [ ] Modemè[ ] Selectric [ ] Hazel _____ [ ] [ ] Tarbell [ ] Music Syn
- [ ] Diablo [ ] SWTP [ ] [ ] North * [ ] DAC
- [ ] TI Mod:_________ [ ] Heath [ ] [ ] TRS-80 [ ] ADC
- [ ] Dec Mod:________ [ ] Soroc [ ] [ ] Apple [ ] Prom Burner
- [ ] Centronix Mod:__ [ ] HB [ ] [ ] SWTP [ ] Voice out
- [ ] Heath [ ] Televideo [ ] [ ] Micropolis [ ] Voice in
- [ ] IDS Mod:_____ [ ] other [ ] [ ] SD sales [ ] Dazzler
- [ ] Epson Mod:_____ [ ] [ ] other [ ] other
- [ ] TRS Mod: _____ -------------
- [ ] Okidata Mod:___ ------------------- ______________
- [ ] other
- [ ] Hard disk __________________
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- DOS: ___________________________
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- Cassette type: ______________________________ Ram Size: ____________________
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- Video Board (specify) _______________________ Other Equip: _________________
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- ___________________ What do you plan to buy? ________________________________
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- Applications:
- [ ] Software development [ ] Hardware development
- [ ] Word processing [ ] Process control
- [ ] Education [ ] Business
- [ ] Hobby [ ] Graphics
- [ ] Ham radio [ ] Music
- [ ] Games [ ] Scientific
- [ ] other:
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- Comments:
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