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Membership Application

  TYPE OF APPLICATION: (Non-Senior and Senior memberships include immediate family.)

  Check One: o Non–Senior o Senior (65+ with proof of age) o Student (Full time with copy of valid ID)

  Check One: o New o Renewal

  PERSONAL INFORMATION:

  Last Name: ___________________________________ First Name: ______________________ Initial: ____

  Street Address ___________________________________________________________________________

  City: _____________________________________________ State: ________ Zip: ____________

  Phone: Day: ______________________ Evening: _______________________

  Email: ______________________________________________________________________________

  I o do o do not wish to occasionally receive vendors’ promotional material or e-mail solicitations.

  CCS Membership dues are $40 per year ($30 forSeniors [65+] or Students)

  MEMBERSHIP DUES ENCLOSED: ________________ (Check or Money Order)

  Make Check payable to: THE CHICAGO COMPUTER SOCIETY

  Mail to: The Chicago Computer Society, P.O. Box 159, LaGrange, IL 60525-0159

  Please allow 2+ weeks to process this application and 6 weeks to receive your first Hard-Copy

  Where did you hear about CCS

  CCS Member: __________________________________________________

  Other: _______________________________________________________

  _____________________________________________________________

  _____________________________________________________________

 

 

Any way you look at it, your Chicago Computer Society membership is a great value!

Membership includes access to CCS monthly eHard-Copy journal, discounts on our Education Programs, participation in our Special Events, and many other benefits.

Payments can be made in one of the following ways:

To Join

1. Pay by credit card or PayPal - select here
      (Page does not have to be printed and mailed to CCS

2. Pay by check or cash -
print this page on your local printer, then FILL IN THE BLANKS and MAIL it in along with your check made payable to The Chicago Computer Society
 

Mail To:
The Chicago Computer Society
PO Box 159
LaGrange, IL 60525-0159

 

It will take approximately two weeks to process your application and six weeks to start receiving your first issue of Hard-Copy, the Society's award-winning monthly journal.

Thanks for your application and welcome aboard!

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The Chicago Computer Society
P.O. Box 159                      (708) 588-0385
LaGrange, IL 60525-0159  
   1ccsadmin@comcast.net

Page Updated
July 24, 2007

Copyright © 1995- 2006, The Chicago Computer Society, All Rights Reserved.
Send changes to
Jerry Sass Webmaster for CCS