Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Date Of Birth *Address *Suburb *Postcode *Mobile Phone: *Home Phone:Emergency Contact Name *Emergency Contact Phone Number *Your Device Information: Desktop Laptop Tablet-Android Ipad-Apple Smartphone-Android Iphone-Apple Please tick all relevant box’sOperating System Windows 11 Windows 10 or earlier Google Android Apple IOS Chromebook Please tick all relevant box’sEmail Program: Outlook Gmail Apple Mail Other Please tick all relevant box’sHow did you find out about our ClubRadioNewspaperInternetFriendOtherPlease tick relevant box’sDisclaimer *By submitting and or signing this form, I hereby declare and agree that: ● I am eligible to become a member of Coffs Seniors Computer Club. ● I agree to abide by the Association’s Constitution, Club Rules and the decisions of the Management Committee. ● I understand that my membership is subject to approval at the next available Management Committee meeting. During the approval process, I am able to attend classes and workshops. My membership status will be reviewed at the end of each membership year. ● I understand that photographs and videos taken at Coffs Seniors Computer Club may be published in our newsletter, website or social media. Further I will advise in writing if I don’t want any photos of me published.Date: *$20 per annum…pay at Monday Meet.Submit
