Melbourne PC User Group

New Membership Application

Thank you for your interest in joining Melbourne PC User Group.

You can apply for membership to join Melbourne PC User Group using this online form. This online form is only for Individual and Corporate Memberships.

New Pensioner and Student applications are required to submit evidence of their status, and should contact the Office by email or phone during business hours and obtain an Application Form.

Existing members may renew online using the Renewals Form

Note: This online application is for membership of Melbourne PC User Group only.

New applications for the Melb PC Internet Service may be made on the internet access agreement forms downloaded from the Internet Service Information Page.

If a new member is referred by an existing member, the existing member can benefit with additional membership credits.

Referred by		(Membership number of referring member)

Title *

First Name *

M.I.		Middle initial

Last Name *

DOB dd/mm/yyyy *		Date of Birth: We need to know the age of members to plan our services. If you choose to enter a fake DOB, please take the time to think of a realistic date - if too young or too old, you will need to provide evidence of pensioner or student status.

Address 1 *		Postal address line 1

Address 2		Postal address line 2, if required

City/Town *		Suburb, town, city name

State (Abbr) *		e.g. VIC, NSW, WA

Post Code *		Post Code or ZIP, e.g. 3021, TW59JR, 90210-1234

Country *		e.g. Australia

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