Commodore Computer Club UK :: Back To BASIC V2

MY PERSONAL DETAILS

Name
Address
Postcode
Email address
Forum name (if registered)

I WISH TO BE A MEMBER FOR

6 months* - £3

1 year* - £5

Life member - £30

* Membership fees for 6 months or 1 year will be back-dated to the beginning of the month that the membership application has been made and relevant fee has been cleared into our account. This can be paid either by personal cheque, postal order or PayPal. Membership fees are currently £3 for six months, £5 per year or £30 for life membership.

PLEASE TICK YOUR INTERESTS FROM THE FOLLOWING

	Gaming		Tech/scene demos
	GEOS		JOS/WINGS
	BASIC programming		Machine language
	Collecting		Archiving/preservation
			Other applications
	Specify other application

PLEASE TICK IF YOU USE ANY OF THE FOLLOWING PERIPHERALS

	Datasette		1541 compatible drive
	1581 compatible drive		FD2000/4000
	CMD HD or RAMLink		1351 mouse/compatible
	Commodore REU		Other RAM expansion
	SuperCPU 64/128		Other accelerator
	MMC/Retro Replay		SwiftLINK/Turbo232
	RR-Net or FB-Net		Other networking device
	1541Ultimate/+		Action Replay
	Expert Cartridge		Other cartridge upgrade
	JiffyDOS		Other speed loader
	Commodore VDU		Other hardware
	Hardware not above

PLEASE TICK WHICH COMPUTERS YOU OWN

	CBM/PET 40 columns		CBM/PET 80 columns
	VIC 20		C64/64c
	C64GS		SX-64
	C16/116		Plus/4
	C128/C128D		C64DTV
	Other Commodore 8-bit		Other Commodore 16-bit
	Specify other computer

I declare that I, the named applicant above, have read and understood the CCC UK rules and regulations, and agree to abide by them fully and co-operatively. I understand that I am joining this club on a personal level, and not as a representative of any group, developer, publisher or vendor that I belong to.

Verification code (see here)