TIDEWATER PAF USER'S GROUP
                              Membership Form

NAME:_____________________________________________________________________

STREET ADDRESS:___________________________________________________________

CITY/STATE:_____________________________________ ZIP CODE:________________

TELEPHONE NUMBERS:  HOME_________________________ WORK ___________________
If you object to the above information being published in our membership
directory which is distributed only to members, check here:_______________
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While the following information is not mandatory, it is helpful if we have
additional information about you.  This information is used to assist the
group in serving its members' needs and interests.

Brand(s) and Model(s) of your Computer(s):________________________________

How much memory:__________Number & type of disk drives:___________________

What version of DOS do you use:__________   What version of PAF:__________

Brand of your modem:_________________________ Highest Speed:______________

Brand(s) and Model(s) of your Printer(s):_________________________________

What word processing software do you use:_________________________________

What other software do you use:___________________________________________

On a scale of 1 (least) to 9 (most), what is your experience with:
PAF:_____                     Genealogy:_____               Computers:_____

Surnames you are interested in:___________________________________________

Localities you are interested in:_________________________________________

Current and/or former occupations:________________________________________

Have you ever published anything of a historical/genealogical nature:_____

List any foreign languages which you speak or read:_______________________

List any workshops or courses you have completed in genealogy:____________

__________________________________________________________________________

Special talents, skills and/or business connections which could be utilized
by our organization (photography, programming, writing, editing, special
research skills, etc.):

__________________________________________________________________________

Committees which interest you:____________________________________________

Type of workshops or classes are you interested in having or participating
in:_______________________________________________________________________

Any other comments:_______________________________________________________

__________________________________________________________________________