Membership
Information/Inventory Form
To serve you better, we want
to know more about you and your system
Name: Last _______________________________ First ___________________
Middle initial _____
Address ______________________________________ City
____________________ State _____
ZIP ________-______ Phone Number: ( ) ______
- ________ EMail:
Please
check any of the following items that you may have:
Hardware:
[ ] Computer [ ] Monitor [ ] Dot-matrix
printer [ ] Ink-jet Printer (color) [ ] WebCam
[ ] LASER printer [ ] Floppy disk drive [ ]
CD-ROM drive [ ] Speakers [ ] Digital still
camera
[ ] CD-ROM burner [ ] DVD drive [ ] DVD burner
[ ] CD burner/DVD-ROM "combo" drive
[ ] Page scanner (slot-feed) [ ] Flatbed scanner [ ]
Printer/scanner combo unit
Other hardware:
Software:
Operating System: [ ] MS Windows,
version ______________ [ ] Other:
Office Suite:
[ ] MS Office, version
___________________ [ ] Other office suite (specify):
Individual programs:
[ ] MS Word version
___________________ [ ] Other word processor
(specify):
[ ] MS Excel version
___________________ [ ] Graphics program (specify):
Other programs (specify):
Please list your primary areas of
interest. What do you hope to get out of the group?
1)
__________________________________________________________________________________________
2)
__________________________________________________________________________________________
3)
__________________________________________________________________________________________
Signature:__________________________________________________
Date: ____ / ____ / _____
If
you wish to add further details or comments, you may do so on the back
of this
form. Thank you, and welome!