Please print this form for submission by snail mail (USPS)
RCSi Membership Form
(please print neatly or type)

Dues are $35 per year for an active membership, $25 for full-time High school/college students or Associate members (home more than 50 miles from Roch.).  Please send this form with your check to RCSi, c/o Steve Staub, 2 Bambi Lane, Rochester, NY 14624

Name:  													
Address:  													
Phone:  					E-Mail:  							
Web Site:  http:// 											

You use your computer at:	 Home	 Work		 Both
Your computer knowledge is:	 Expert	 Intermediate	 Novice
You are joining because you want:	 to learn about computers
							 to learn about software
							 to get help with problems
							 to share expertise
							 to meet with “computer” people
							 other:  

Would you be willing to help others with programs you are familiar with?						 Yes	 No

What kinds of software/hardware have/do you use(d)?					

														

We will have a members only, password protected page, with an online list of our members’ names. If you have an E-Mail address and/or Web Page, would you like links put online with your name?
 Yes	 No

Can you volunteer for one of the many small jobs that keep the Club going?
 Yes	 No