Membership Application

Complete this application, then click 'Submit'.

Date

Name 1 *

First

Last

Contact Phone 1 *

Email 1 *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Badge Name 1 *

This is a Dual Membership? *

Please check the appropriate membership selection.

Annual Membership Dues are collected every January. First year memberships are prorated based on the beginning month.

First Year Proration (Single Membership)

Select the month you want your membership to begin in.

Specific technology interests (please specify)

Comments

You can mail your check made payable to: Computer Booters.

Mail To: Computer Booters
P.O. Box 11702 Chandler, Arizona 85248

or pay by Zelle by transferring from your bank to: gro.s1679500670retoo1679500670bretu1679500670pmoc@1679500670rerus1679500670aert1679500670