Superstition Sunrise Computer Club Member Registration

Site Number:

First Name:   Last Name:

Phone Number:

E-mail:

- - - - - Second person at site (optional)

First Name:   Last Name:

Phone Number:

E-mail:

Fill in the entries, then give to Registration table before a Friday 9am meeting.

Dues: $10 per person, $15 for two living at same residence.