Silicon Web Costumers Guild (SiW)
Membership Form
_______ Regular Membership for $14.75/year.
Includes membership in Silicon Web
Costumers Guild (SiW) and the International Costumers Guild (ICG) plus
chapter newsletter.
_______ Household Membership(s) at $6.20 for each additional member at the same address.
_______ Non-Primary Chapter membership for $6.25/year.
$_______ Amount Enclosed
Name ______________________________________________________
Address ______________________________________________________
City ___________________ State ____ Postal Code ____________
Country _____________________________
Phone _________________________________________
E-mail ______________________________________________________
Web Page ______________________________________________________
Send checks or money orders made out to:
Silicon Web Costumers' Guild
and this printed out form to:
Bruce R. MacDermott
2801 Ashby Avenue
Berkeley, CA 94705
Please include your correct mailing address if it is different from your imprinted check address.