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Text File  |  2023-02-26  |  2KB  |  104 lines
  1.  
  2. *************************************
  3.      COMMODORE COMPUTER CLUB UK.
  4.              MEMBERSHIP
  5. *************************************
  6. http://commodorecomputerclub.co.uk/
  7.  membership.php
  8.  
  9. My personal details
  10.  
  11. Name
  12. _____________________________________
  13.  
  14. Address
  15. _____________________________________
  16.  
  17. _____________________________________
  18.  
  19. Postcode __________________________
  20.  
  21. Email address
  22. _____________________________________
  23.  
  24. Forum name (if registered)
  25. ________________________________
  26.  
  27. I wish to be a member for
  28. [ ] 6 months* - 3
  29. [ ] 1 year* - 5
  30. [ ] Life member - 30
  31.  
  32. * Membership fees for 6 months or 1
  33. year will be back-dated to the
  34. beginning of the month that the
  35. membership application has been made
  36. and relevant fee has been cleared
  37. into our account. This can be paid
  38. either by personal cheque, postal
  39. order or PayPal. Membership fees are
  40. currently 3 for six months, 5 per
  41. year or 30 for life membership.
  42.  
  43. Please tick your interests from the
  44. following
  45. [ ] Gaming
  46. [ ] Tech/scene demos
  47. [ ] GEOS JOS/WINGS
  48. [ ] BASIC programming
  49. [ ] Machine language
  50. [ ] Collecting Archiving/preservation
  51. [ ] Other applications
  52. Specify other application
  53. _____________________________________
  54.  
  55. Please tick if you use any of the
  56. following peripherals
  57. [ ] Datasette
  58. [ ] 1541 compatible drive
  59. [ ] 1581 compatible drive
  60. [ ] CMD FD2000/4000
  61. [ ] CMD HD or RAMLink
  62. [ ] 1351 mouse/compatible
  63. [ ] Commodore REU Other RAM expansion
  64. [ ] SuperCPU 64/128 Other accelerator
  65. [ ] MMC/Retro Replay
  66. [ ] SwiftLINK/Turbo232
  67. [ ] RR-Net or FB-Net Other
  68.     networking device
  69. [ ] 1541Ultimate/+
  70. [ ] Action Replay
  71. [ ] Expert Cartridge
  72. [ ] Other cartridge upgrade
  73. [ ] JiffyDOS Other speed loader
  74. [ ] Commodore VDU Other hardware
  75. Hardware not above
  76. _____________________________________
  77. _____________________________________
  78.  
  79. Please tick which computers you own
  80. [ ] CBM/PET 40 columns
  81. [ ] CBM/PET 80 columns
  82. [ ] VIC 20
  83. [ ] C64/64c
  84. [ ] C64GS SX-64
  85. [ ] C16/116 Plus/4
  86. [ ] C128/C128D C64DTV
  87. [ ] Other Commodore 8-bit
  88. [ ] Other Commodore 16-bit
  89. Specify other computer
  90. _____________________________________
  91.  
  92. [ ] I declare that I, the named
  93. applicant above, have read and
  94. understood the CCC (UK) rules and
  95. regulations, and agree to abide by
  96. them fully and co-operatively. I
  97. understand that I am joining this
  98. club on a personal level, and not as
  99. a representative of any group,
  100. developer, publisher or vendor that
  101. I belong to.
  102.  
  103. =====================================
  104.