The Computer Club of Oklahoma City

Printable form

 

CCOKC Membership Application
New Member   checkbox.jpg (842 bytes)  Renewal   checkbox.jpg (842 bytes)  Change of Address   checkbox.jpg (842 bytes)

  

Regulars/Seniors 3 Year Memberships at Reduced Prices

 

Regular Single 3-Yr. memberships may be purchased for $75, paid in advance.


Senior Single 3-Yr. memberships may be purchased for $65, paid in advance.


Senior Combo memberships come with additional benefits.

  

 Name_____________________________________________

 Spouse's Name_____________________________________

 Address___________________________________________

 City, State   &Zip______________________________________

 Phone:   Hm_______________Wk______________Fax_______

 Birth date ____________Sponsor   (optional)_______________________

 E-Mail Address_____________________________

 

**Signature__________________________

 

Type of Membership

checkbox.jpg (842 bytes) Regular-Single $30
checkbox.jpg (842 bytes) Regular-Couple $45
checkbox.jpg (842 bytes) Student (Fulltime) $20
checkbox.jpg (842 bytes) Senior (55+) $25
checkbox.jpg (842 bytes) Senior Couple $30
checkbox.jpg (842 bytes) Senior Combo (CCOKC + SeniorNet)

$60
single/

couple

checkbox.jpg (842 bytes) Lifetime $200

DE________
    #________
     (for office use)

Subscribe to the eMonitor for monthly updates on the club happenings!

http://www.ccokc.com

Please send Check or Money Order for the indicated membership plan

 

Students must be full-time. Under the Regular Couple membership, children through high school age are

    included. Senior Combo includes membership to CCOKC and Senior Net. Questions, call the Resource Center

    at 843-4300. Leave message if no answer.

    Mail this form with payment to:
    Membership Chairman
    OKC PC User's Group
    3000 United Founders Blvd., Suite 201
    Oklahoma City, OK 73112-4279