PAAIUG Membership Form

PAAIUG Membership Form Pennsylvania ARC/INFO User Group
1996 Member Application Form
Please print, fill out, and send in this form.

Name:________________________________________  Phone: (____) ____ - ______

Position/Title:______________________________  Fax:   (____) ____ - ______

Organization:________________________________  E-mail: ___________________

Address:

City:______________________________  State:____  Zipcode:________ - ______

  Member Category       Rate          Member Description

___________________  __________     _________________________________________

_ Individual           $20.00         Benefits include quarterly newsletter,

                                      member directory, and attendance at

                                      meetings.

_ Student               $5.00         Benefits include quarterly newsletter

                                      and attendance at meetings

Membership dues offset costs associated with mailing and reproduction of the newsletter, member directory, and other special mailings; refreshments, room, and equipment rental for the annual meeting; mailbox rental, and innovation (such as development of on-line internet resources). Membership must be renewed annually, and dues will be credited from January 1 through December 31 of any given year. Any dues received in 1996 will be credited through December 31, 1996. Checks should be made payable to "PA ARC/INFO USER GROUP". All dues must be accompanied by a complete membership form. Mail completed form and payment to: PA ARC/INFO USER GROUP
P.O. BOx 40822
Philadelphia, PA 19107-0822

Member Survey

I consider myself a...

_ Administrator or Manager            _ Specialist (application specific)

_ Analyst (user, data, and/or query)  _ Programmer (AML, SML, Avenue, AutoLisp)

_ Technician (digitizer, operator)    _ Consultant

_ Student

My primary areas of interest are (check all that apply)

_ Business/Marketing                  _ Health Care

_ Education                           _ Planning

_ Cadastral Mapping                   _ Real estate

_ Environmental                       _ Transportation

_ Utility (AM/FM)                     _ Federal & State Gov't

_ County Gov't                        _ Municipal Gov't

_ Other (specify) ___________________________________________

Product & Platform - PC or Unix Workstation (specify workstation brand Sun, IBM, DEC, etc.)

___ ARC/INFO TM     ___________________________________________

___ PC ARC/INFO TM  ___________________________________________

___ ArcView TM      ___________________________________________

___ ArcCAD TM       ___________________________________________

___ ArcData TM      ___________________________________________