Laguna Woods Village Mac Club
2012 Application and/or Renewal Form

Computer-generated Date:

Please check one box only:

  Resident - Single New or Renewing Member ... $10

 

Residents - Couple New or Renewing Members ... $15
  Non-Resident New or Renewing Member ... $20

 

Nonresidents - Couple New or Renewing Members ... $25

 

Check #__________ or Cash




Please print your LAST name.

Please print your FIRST name.

If "couple," please print other LAST name and FIRST name.

Enter COMPLETE mailing address.

Telephone Number.

First Email Address.

Second Email Address.
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Please complete this form, print it, and either hand it, together with your check,
payable to The Mac Club, to a supervisor in the Mac Learning Center, or send it
to the Mac Club’s treasurer:
W. Vermolen, 3346-A Bahia Blanca East, Laguna Woods, CA 92637-2591.