Southwest Florida PC Users Group
Membership Application

There are currently no dues

       Date: _________________       Chapter: _________________________
                                                                          
(if applicable)

      Name(s): ________________________________________________

      Name for Name Tag(s) if different: (2 max)________________________

      Mailing Address: ____________________________________________

      City:_____________________________  State: ____  Zip: __________

      Telephone:  _______  _______  ______________

       e-mail:  ___________________________________________________

       Alternate Mailing Address if part time:  (You must advise us each time you switch addresses.  ) 

      Address: __________________________________________________

      City: _____________________________ State: ____  Zip: __________

Upon receipt of this application, you will receive a Welcome letter and name tag(s). 

  Make our web site your default web page
Visit www.swfpcug.org

Mail to SWFPCUG
PO Box 1446
Cape Coral, FL 33910-1446