Date: _________________
Please check: ____ New Member
____ Update (No.___________)
Membership type: _____ Regular; ____ Junior (<18)
Name: ____________________________________________________
Local Address: _____________________________________________
Street Address: _____________________________________________
City: _____________________________________________________
State: ______ Zip: __________________ Country: _______________
SEMCO may release the mailing list to selected vendors for mailing notices of special deals for user group members. Please indicate if you wish your address omitted from any such release. Omit: _______
SEMCO publishes a membership directory for use only by
members. Please indicate if you wish your information listed in this directory.
Daytime phone: ____________________________ List? (Y/N): _____
Evening phone: ____________________________ List? (Y/N): _____
E-Mail address: ____________________________ List? (Y/N): _____
May we send you e-mail: _________________________ (Y/N): _____
Which of the SIG's do you attend or plan to attend.
Please check all that apply.
___ SIG-IBM
___ SIG-IBM Intermediate (DOS, WINDOWS, etc.)
___ SIG-Advanced
___ SIG-Linux
Type of computer you own or use:
Please check all that apply
___ AMD or Intel multi-core
___ Pentium IV, Athlon, or Athlon 64
___ Pentium, Pentium II,Pentium III or older
___ Celeron, Duron, Sempron
___ Tablet PC
___ Netbook
___ Handheld/PDA
___ Apple Mac (all versions)
___ Other: ___________________________________________
Please indicate interest level for all that apply
I - Interested, but don't own
O - Own or use at least one program of this type
P - Proficient in at least one program of this type
A - Advanced user of program(s) of this type
___ Games
___ Word Processing
___ Desktop Publishing
___ Databases
___ PIMs (Personal Information Managers)
___ Spreadsheets
___ Personal Finance (Quicken, MS Money, etc.)
___ Accounting
___ Graphics
___ Digital Photography
___ CAD (Computer Aided Design)
___ Networking
___ Internet Surfing
___ Internet - Creating Web Sites, etc.
___ Programming
___ Video Editing
___ Other: ___________________________________________
Please list any programs, operating systems, etc. which you
are willing to assist other SEMCO members in using:
______________________________________________________________________________________________
______________________________________________________________________________________________
Which operating system(s) do you use:
___ Windows Vista or Windows 7
___ Windows XP
___ Windows NT or 2000
___ Windows 9x or ME
___ UNIX/Linux
___ Mac OS
___ Other: _________________________________
How would you be willing to assist in SEMCO activities?
___ Write a newsletter article
___ Plan & manage a meeting presentation
___ Recruit new members
___ Review software
___ Start a SIG / Area of interest:
_______________________________
___ Other: _________________________________
Print out this application and send it with a check for a year's dues* to:
* Dues are $30.00 for regular and junior members, and cover 12
months starting the month you join.