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<strong><font face="Verdana">Links</font></strong><p><font FACE="Verdana, Arial, Helvetica" COLOR="#000000"><img
SRC="../images/3arrow.gif" BORDER="0" ALIGN="bottom" WIDTH="4" HEIGHT="7"><a
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<font SIZE="+2" FACE="Verdana"><b>Membership Application</b></font> <p><font
SIZE="-1"><a HREF="cf_mem.htm">Back to Membership Info</a> | <a
HREF="mailto:webmaster@cfcs.org">Write to Us</a> | <a HREF="">Home</a> </font></p>
<p><font SIZE="-1" FACE="Verdana">We invite you to join our Society through this
convenient on-line application form. Your membership card will be waiting for you at the
next CFCS general meeting (please allow three days for processing). </font></p>
<p><font FACE="Verdana"><font SIZE="-1">At that time, you may pay your membership fee.
We're glad to have you join us!</font><font SIZE="+0"> </font></font></p>
<hr>
<form action="http://www.cfcs.org/cgi-bin/uncgi/cfmemfm" method="Post">
<p><font SIZE="+1" FACE="Verdana"><b>Class of membership</b></font></p>
<blockquote>
<pre><input type="radio" checked name="class" value="individual"> Individual.....................................$40
<input
type="radio" name="class" value="family"> Additional family member.......................$25
(No newsletter)
<input
type="radio" name="class" value="dual"> Dual membership................................$65
(CFCS &amp; Orlando NT Professional Assn.)
<input
type="radio" name="class" value="corporate"> Corporate.....................................$125
(includes $240 advertising credit in our
monthly newsletter--circulation: 5,000)
<input
type="radio" name="class" value="student"> Full-time student..............................$20
</pre>
</blockquote>
<p><font SIZE="+1" FACE="Verdana"><b>Personal Information</b></font></p>
<pre> Title <select name="title" size="1"><option>Mr. </option><option>Mrs. </option><option>Miss </option><option>Ms. </option><option>Dr. </option><option>Prof. </option></select>
First name <input
type="text" size="20" name="fname">
Initial <input type="text" size="2" maxlength="1"
name="mi">
Last Name <input type="text" size="20" name="lname">
Nickname <input
type="text" size="20" name="nickname"> Clint, Bev, etc.
Home phone (<input type="text" size="4"
maxlength="3" name="hphonearea">) <input type="text" size="9" maxlength="8" name="hphone">
Fax/Modem (<input
type="text" size="4" maxlength="3" name="fphonearea">) <input type="text" size="9" maxlength="8"
name="fphone">
Email address1 <input type="text" size="30" maxlength="30" name="email1">
Email address2 <input
type="text" size="30" maxlength="30" name="email2">
Mail address1 <input type="text" size="25"
maxlength="30" name="addr1">
Address2 <input type="text" size="25" maxlength="30" name="addr2">
City <input
type="text" size="20" name="city">
State <input type="text" size="3" maxlength="2"
name="state"> Zip <input type="text" size="12" name="zip"> (9-digit if known)
</pre>
<p><font FACE="Verdana"><b><font SIZE="+1">Business Information<br>
</font></b><font SIZE="-1">(Encouraged for all members. Required for corporate members.)</font></font></p>
<pre> Company name <input type="text" size="20" maxlength="35" name="busname">
Business phone (<input
type="text" size="4" maxlength="3" name="busphonearea">) <input type="text" size="9" maxlength="8"
name="busphone"> Ext <input type="text" size="6" name="busphoneex">
Business Fax (<input
type="text" size="4" maxlength="3" name="busfaxarea">) <input type="text" size="9" maxlength="8"
name="busfaxphone">
Bus email1 <input type="text" size="30" maxlength="30" name="busemail1">
Bus email2 <input
type="text" size="30" maxlength="30" name="busemail2">
Bus Mail addr1 <input type="text" size="25"
maxlength="30" name="busaddr1">
Address2 <input type="text" size="25" maxlength="30"
name="busaddr2">
Address3 <input type="text" size="25" maxlength="30" name="busaddr3">
City <input
type="text" size="20" name="buscity">
State <input type="text" size="3" maxlength="2"
name="busstate"> Zip <input type="text" size="12" name="buszip"> (9-digit if known)</pre>
<p><font SIZE="+1" FACE="Verdana"><b>Mail should be sent to:</b></font></p>
<blockquote>
<pre><input type="radio" checked name="mailto" value="mailtohome"> Home address
<input
type="radio" name="mailto" value="mailtobusiness"> Business address</pre>
</blockquote>
<p><font FACE="Verdana"><b><font SIZE="+1">Operating systems you use<br>
</font></b><font SIZE="-1">(check all that apply)</font></font></p>
<blockquote>
<pre><input type="checkbox" name="win98" value="Yes"> Windows 98
<input type="checkbox"
name="win95" value="Yes"> Windows 95
<input type="checkbox" name="win3x" value="Yes"> Windows 3.x
<input
type="checkbox" name="winNT" value="Yes"> Windows NT
<input type="checkbox" name="os2os" value="Yes"> OS/2
<input
type="checkbox" name="unix" value="Yes"> Unix
Other:
<input type="text" size="20" name="opsysother">
</pre>
</blockquote>
<p><font SIZE="+1" FACE="Verdana"><b>Volunteerism</b></font><font SIZE="+0"> <br>
</font><font SIZE="-1" FACE="Verdana">An organization like ours functions well only with
volunteer help. Would you be willing to help occasionally with various Society projects as
needed?</font></p>
<blockquote>
<pre><input type="radio" name="willhelp" value="yes"> Yes
<input type="radio"
name="willhelp" value="no"> No, I'm sorry</pre>
<p><font SIZE="-1" FACE="Verdana">Any special skills you might offer to the Society, or
areas in which you might prefer to help? <b>Examples</b>: demonstrating software at
meetings, meeting setup/takedown, help produce or deliver newsletters, etc.</font></p>
<p><textarea name="help_areas" rows="6" cols="50"></textarea></p>
<p>&nbsp;</p>
</blockquote>
<p><font FACE="Verdana"><b><font SIZE="+1">Special Interest Groups <br>
</font></b><font SIZE="-1">Which Special Interest Groups seem most interesting to you?</font></font></p>
<blockquote>
<pre><input type="checkbox" name="adobe" value="Yes"> Adobe Photoshop &amp; Multi-Media
<input
type="checkbox" name="access" value="Yes"> Access/Visual Basic Developers
<input type="checkbox"
name="advanced" value="Yes"> Advanced Technology
<input type="checkbox" name="hardwaren" value="Yes"> Hardware (Novice)
<input
type="checkbox" name="hardwarei" value="Yes"> Hardware (Intermediate)
<input type="checkbox"
name="internet" value="Yes"> Internet
<input type="checkbox" name="investing" value="Yes"> Investing
<input
type="checkbox" name="novell" value="Yes"> Novell NetWare Users
<input type="checkbox" name="os2sig"
value="Yes"> OS/2
<input type="checkbox" name="quickbooks" value="Yes"> QuickBooks
<input
type="checkbox" name="quicken" value="Yes"> Quicken
<input type="checkbox" name="spreadsheet"
value="Yes"> Spreadsheet
<input type="checkbox" name="tax" value="Yes"> Tax Preparation Software
<input
type="checkbox" name="webdevel" value="Yes"> Web Development
<input type="checkbox" name="windows"
value="Yes"> Windows
<input type="checkbox" name="windowsnt" value="Yes"> Windows NT
<input
type="checkbox" name="word" value="Yes"> Word for Windows
<input type="checkbox" name="wpwin"
value="Yes"> WordPerfect for Windows
</pre>
</blockquote>
<p><font SIZE="+1" FACE="Verdana"><b>Demographic Information (optional)</b></font></p>
<pre> Spouse <input type="text" size="20" name="spouse">
Birthdate <input
type="text" size="20" name="birthdate"> (mm/dd/yyyy)
Occupation <input type="text" size="35"
name="occupation">
Hobbies <input type="text" size="35" name="hobbies">
Special skills <input
type="text" size="35" name="skills">
</pre>
<p><font SIZE="+1" FACE="Verdana"><b>Miscellaneous</b></font></p>
<blockquote>
<p><font SIZE="+0" FACE="Verdana"><b>How did you hear of our Society? </b></font></p>
</blockquote>
<blockquote>
<pre><input type="checkbox" name="fromfriend" value="Yes"> A Friend
<input type="checkbox"
name="frominternet" value="Yes"> The Internet
<input type="checkbox" name="fromnewsletter" value="Yes"> CFCS newsletter
Other:
<input
type="text" size="40" name="fromother">
</pre>
</blockquote>
<blockquote>
<p><font FACE="Verdana"><b><font SIZE="+0">We'd appreciate your comments: <br>
</font></b><font SIZE="-1">(use as much space as you need)</font><font SIZE="+0"> </font></font></p>
</blockquote>
<blockquote>
<pre><textarea name="comments" rows="5" cols="40" wrap="VIRTUAL" autowrap></textarea>
</pre>
</blockquote>
<p><font FACE="Verdana"><b><font SIZE="+1">Authorization<br>
</font></b><font SIZE="-1">I authorize the Society to publish the information above, as
indicated below. The Society will NOT publish optional demographic information (spouse,
occupation, etc.). </font></font></p>
<blockquote>
<pre><input type="radio" checked name="authorization" value="all">All
<input type="radio"
name="authorization" value="nameonly">Name Only
<input type="radio" name="authorization"
value="nameaddressonly">Name/Address Only
<input type="radio" name="authorization" value="none">None
</pre>
</blockquote>
<p><input type="submit" value="Submit Application"><input type="reset"></p>
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