Application Type: □ New □ Renewal □ Info Change Today’s
Date: ___________________
Name: _________________________________________________________
Address: _________________________________________________________
City: ____________________________ State: __________
ZIP+4: __________________
Home Phone: _____________ Alt. Phone: ____________________
Fax: ___________________
Email address: ________________________________
Referring member: _____________________
It is CUE’s policy to keep your information confidential.However, for contact regarding SIGs, meetings and a possible Help
Directory, may we release the following to other members:
Home Phone: □ Yes □ No and/or Email Address: □ Yes □No
Please indicate how you wish to receive your monthly newsletter issue. Please note that if you choose US Mail delivery,
there will be a $10 surcharge added to your dues to help offset the rising postage costs to mail your newsletter.
□ E-Mail □ US Mail □ Pickup at meeting
_________________________________________________________
How did you hear about CUE?
Dues Rates
Regular membership: $20.00 / year
Newsletter by US Mail: $30.00 / year
Student membership: $15.00 / year
Student members MUST present proof of student status
Mail completed application and check to:
Computer Users of Erie Membership
PO Box 8941
Erie, PA 16505-0941