ISLE OF WIGHT PC USER GROUP

The club meets on the first Wednesday of the month at The
Riverside Centre in Newport at 7.30 pm. All levels of experience
and knowledge are welcome, from novice to expert.

                   MEMBERSHIP APPLICATION FORM
                   ===========================
Starting in 2005, membership is £6 per year.

Please send this completed form with your cheque (made payable to
"The Isle of Wight PC User Group") to: The Membership Secretary,
VARNA, East Hill Road, RYDE, IW, PO33 1LL.

Title_________ Initials_________ Surname ________________________

Forename __________________________ Date of birth____/____/______

Address__________________________________________________________

       __________________________________________________________

       __________________________________________________________

Postcode______________ Home Phone __________ Work Phone _________

Job___________________________ Employer__________________________

E-mail address___________________________________________________

Special Interests/favourite software_____________________________

_________________________________________________________________

Associates:
You may add here the name(s) of other person(s) as Associate
Members who live at the same address (Associate Members do not
pay a subscription):

_________________________________________________________________

I hereby apply to become a member of the IW PC User Group.  I
agree to abide by the constitution.

DATA PROTECTION ACT, 1984.  I agree that any of the details given
on this form may be held on the Group's database and may be
disclosed to any other member of the Group.  I undertake that
such information concerning another member of the Group will not
be disclosed to a non-member except with the further permission
of the member concerned.


   Signature_______________________________ Date____/____/____