Clarion User Group Qld, Australia Membership Form

Clarion Users Group Queensland

Australia's largest Clarion user group with members in all states of Australia and in New Zealand,

Clarion Users Group Qld Membership Form

Surname:____________________________________ First name:__________________________________

Title....... :___________________________________ Known as..:_________________________________

Address..:_______________________________________________________________________________

Suburb ....:___________________________________ Postcode:____________ State:__________________

H.Phone..: (_____)____________________________ W.Phone:(_____)_____________________________

Mobile.....: __________________________________ Fax :(_____)_________________________________

Email :_________________________________ WWW Page :____________________________________

Company:____________________________________ Position:___________________________________

Company Business:_______________________________________________________________________

Clarion versions used :_____________________________________________________________________

How long for :____________________________________________________________________________

Skill Level :______________________________________________________________________________

App's Developed :_________________________________________________________________________
What do you
want from CUGQ :________________________________________________________________________

The CUGQ members phone list has a space to list areas you could help other members eg: Novell, Unix, OS2,etc

________________________________________________________________________________________

I hereby apply for membership of the CLARION USERS GROUP QLD and aggree to abide by the rules of the CUGQ.

I enclose the Membership fee of $Aus 40.00 (per year, make cheque payable to Clarion Users Group Qld)
(If outside Australia then send a bank draft payable in $AUS for $40 or send $US40, the bank gets the difference)

Signature:___________________________ Date :____/____/______

Post to:
CLARION USER GROUP QUEENSLAND
4 Grandis Court, Everton Hills Qld 4053 Australia
WWW Page: http://www.clarion.org.au/cugq

Return to CUGQ Home Page