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Membership Application

Registration is required for all memberships! Print the form and mail it or bring it along with you to a meeting. Web submission of the membership form has been deactivated!

Make check payable to WVPCUG. Print this form and send along with your check to:

Warwick Valley PC Users Group
Attn: Treasurer
P.O. Box 1085
Warwick, NY 10990

Please check one of the following:

New Membership Address Change

Renewal Attend a General Meeting for Free

Type of Membership:

Individual ($25)
Business ($50, up to four employees)

Student ($10) With valid student ID

Family ($40) Nonprofit ($25, up to four representatives)

Membership Information:

Name or Business Name:

Address 1:

Address 2:

City:

State:

Zip:

Phone:

E-Mail:

Business/Nonprofit Members:

Employee/Representative:

E-Mail:

Employee/Representative:

E-Mail:

Employee/Representative:

E-Mail:

Employee/Representative:

E-Mail:

Click here to reset this form: