MEMBERSHIP APPLICATION FOR SENIORNET PAPAKURA INC:
I / WE wish to apply for membership of SeniorNet Papakura Inc, and confirm my eligibility by being 55+ years of age. Enclosed find my cash / cheque for $30 single / $50 double. (Membership renewal on 1st March each year.)
Mr
Mrs
Ms
Dr
First Name/s__________________________________________________________
Preferred First name/s for membership badge/s_________________________
Surname____________________________________________________
Ethnicity_________________Age 50 - 60______60+________
Address_____________________________________________________
____________________________________________________________
Phone_____________________ E-mail_____________________________
Have you previously been a member of SeniorNet Papakura? Yes / No
How did you find out about us?__________________________________
Are you a past or current member of another SeniorNet group? Y / N
If Yes, where / when?_______________ Do you have a computer? Y / N
At our club we use exclusively Windows XP and associated software.
WINDOWS 98 WINDOWS XP WINDOWS VISTA APPLE - MAC
Which programme do you use for WORD PROCESSING? Please indicate the version if known
(i.e. Word 2002). Your version is found by opening WORD then selecting from the menu bar HELP then ABOUT.
MS WORKS ______ MS WORD_______ MS WORKS SUITE
MS OFFICE _______ Other_______________________________
SIGNATURE___________________________ DATE_____________________
This page is for your info: and record only.
Please make your cheques payable to SENIORNET PAPAKURA INC: and cross it A/c Payee Only.
Record your Cheque No: here___________________Date Sent________________
Attach your remittance to the FRONT PAGE ONLY and Post this application to:
SeniorNet Papakura Inc
PO BOX 72 427
PAPAKURA
Tel: Gregor Keir (09) 296 8543
or the Learning Centre on (09) 296 7263
for further information.
More information can be obtained by accessing our web site at
www.seniornetpapakura.org.nz.
This includes our latest Newsletter and Bulletin Board.