Apple Corps of Dallas Application for Membership

 Name:___________________________________  __ New Member __ Renewal

 Home Address:_____________________________________________________

 City, State Zip:__________________________________________________

 Home Telephone Number: (_____)____-________

 What type(s) of Computer do you have:_____________________________

 Primary E-mail: _________________________________

 Optional:   Sex:             M or F

             Date of Birth:   ____/____/____

             Business Phone: (_____)____-________

If we ever offer our membership list to someone for mailings, do you
wish to be included?  YES/No (omitted response means YES)

Do you wish to be included in the annual Apple Corps directory
mailed to members? Yes/NO (omitted response means NO)

Membership is a minimum $30 donation for a primary member. If you
would like to have family (associate) members included, then add $10
per associate member. An extra hour on the BBS is available as an
additional $12 donation for each member, primary or associate, that
desires it. Associate Members get to participate in prize drawings
and, if 18 or older, vote. Only one AppleGram is sent per primary
membership. Primary member must be an adult 18 or older. Associates
can not join without a Primary member. The maximum number of votes
is four (4) per family. The above mentioned contribution levels are
the minimum... additional tax-deductible contributions are greatly
appreciated. We feel and know membership is worth a lot lot more
than the minimum contribution levels. We hope you find that true.

BBS Starter Kits are available for $10. The BBS Starter Kit includes
the BBS Telecommunications Disk and most recent AppleGram either
hard copy, or on disk.

             First Name
 Primary   _______________ $30 or $42* _____
 Associate _______________ $10 or $22* _____
 Associate _______________ $10 or $22* _____
 Associate _______________ $10 or $22* _____
 Associate _______________ $10 or $22* _____
 BBS Starter Kit:          $10         _____
                                       =====
 Total:                               $_____ Check No.:________ 

 *includes extra hour on BBS 

Send this application and a check made out to Apple Corps of Dallas
for total amount to:

 Apple Corps of Dallas
 Attn: Membership Director
 P.O. Box 835537
 Richardson, TX 75083

You may also pay using a credit card or PayPal account using the 
link below...If you do so then just send a copy of this renewal form 
to Renewal with a check mark below.

 ___  I've paid via PayPal
      Transaction Number:________________________________________

 https://www.paypal.com/xclick/business=paypal@acd.org

 If you pay by PayPal, you can e-mail this completed form to the 
 Membership Director intead of physically mailing it through the
 US Postal Service. Send this form to: Membership_Director@acd.org.