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Text File  |  1991-07-11  |  2KB  |  34 lines
  1. -----------------------------------------------------------------------------
  2.                       Atari Computer Enthusiasts (N.S.W.)
  3.                           G.P.O. BOX 4514 SYDNEY 2001
  4. ---------------------------------------------------------------------------
  5.                                 MEMBERSHIP FORM
  6.  
  7.     NAME       :_____________________________________________________
  8.  
  9.     ADDRESS    :_____________________________________________________
  10.  
  11.     TOWN/SUBURB:____________________________  STATE:____ POST CODE:_____
  12.  
  13.     PHONES-  Home (_____)______________    Work (_____)_______________
  14.  
  15.            ATARI COMPUTER MODELS.  (Please mark which models you own.)
  16.                  ST {_}  or  STE {_}  520 / 1040 / 2 MEG / 4 MEG
  17.               SINGLE sided 360K Drive   or  DOUBLE sided 720K Drive
  18.  
  19.                  SIGNATURE:________________   Date: ___/___/___
  20.  
  21.             Enclosed is:  [_] Cash    [_] Cheque    [_] Money Order
  22. for:-
  23.           [_] $35 New Membership            [_] $30 Membership Renewal
  24.           [_] $20 Non ACE MEMBER BBS Fee    [_] $10 ACE MEMBER BBS Fee
  25.  
  26.             Enter BBS Password: ______________  8 Characters Maxium
  27.  Modem setup: 8 Data Bits / 1 Stop Bit / FULL Duplex - 300/1200/2400
  28. ____________________________________________________________________________
  29. OFFICE USE ONLY:
  30.  Date Processed:____/____/____ Renewal Due:__________ Receipt #:________
  31.                                                               M/Card sent:[_]
  32.  First Issue #:_____  Last Issue #:_____  Membership #:______ StarterDsks:[_]
  33. ______________________________________________________________________________
  34.