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  1.  
  2.                   NYACC MEMBERSHIP APPLICATION
  3.               New York Amateur Computer CLub, Inc.
  4.                            PO Box 106
  5.             Church Street Station, New York NY 10008
  6.  
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  8.          [ ] New Member    [ ] Renewal    Dues are $15.00
  9.                Please make checks payable to NYACC
  10.  
  11. First name:__________________  Last name: _______________________
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  13. Mailing Address: ________________________________________________
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  15. City: ___________________ State: _____ Zip: ______ Country: _____
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  17. Business phone: (___) ___-____          Home phone: (___)___-____
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  19. What topics would you like covered at club meetings:
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  23. Would you like to speak at a club meeting? [ ] yes [ ] no
  24. Topic(s):
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  28. Can you help the club? [ ] general   [ ] newsletter  [ ] flea market
  29. [ ] meetings  [ ] user group
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  33. Comments:
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