McAfee STUDENT SURVIVAL KIT 1.0-GETTING STARTED Manuel d'utilisateur télécharger pdf (Page 6)

PCIG -- MEMBERSHIP APPLICATION / CHANGE OF ADDRESS FORM

Members at the June 2005 PCIG meeting voted to eliminate dues effective immediately

for one year! To register as a member just email our secretary Aaron Albertson

n1driver@charter.net, send in this form, or sign yourself up for our monthly newsletter

on topica by following this link: topicalink <http://www.topica.com/subscribe/pcig>

If this is a new membership application, please enter the name of the person who referred you to

PCIG ______________________________

EMPLOYEE NAME: _________________________________________________

EMPLOYEE STATUS (circle one) Regular(full time) Retired

IBM Dept: ________ BDLG: ________

Internal/External Email address: _______________________________

Home Address:

___________________________________________

Home Phone: _____________ Work Phone: _____________

To qualify as an Associate Member, dependents *MUST* qualify for benefits under the IBM

Medical Benefits Plan.

Associate Members:

___________________________________________

PLEASE SEND COMPLETED FORM:

IBM PCIG SECRETARY

H371

Bldg 0402

3605 NW Hwy 52

Rochester, MN 55901

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McAfee STUDENT SURVIVAL KIT 1.0-GETTING STARTED Manuel d'utilisateur Page 6