Membership Application

First Name *

Last Name: *

E-mail: *

Phone: *

Address: *

City: *

State: *

Zip code: *

New, Renewal, or Rejoin? *

Our club is an all volunteer organization. To keep the Club operating, all Club members are requested to volunteer in some capacity when their schedules permit.

Your choice:

Greeter Coffee Instructor Assistant Instructor Kitchen Help Office Admin General Meeting Setup/Teardown Open House Social Events

If you live in gated Community please list the name?

Gated Community

How did you hear about the club? *

Newspaper Friend Something in the mail Store HCC.Org Social Media (Includes Facebook)

Hold Harmless Agreement: I understand that the Hernando Computer Club, Inc. is a non-profit organization composed of all volunteers. I also understand that the volunteers give of their time and share their knowledge and help to the best of their ability. I have voluntarily chosen to join the Hernando Computer club. Inc. and have received no expressed guarantees. I release the Hernando Computer Club, Inc., it Officers, Directors, volunteers and members from any liability associated with their assistance of the content which is provided.

I had read the Hold Harmless Agreement *

I agree

I will join for *

1 year $30 2 years $40

After you have clicked the submit button you will be able to pay for your membership with your Credit Card or PayPal account. You may want to stop by at the club and pick up your new Member Pak and Badge. If no payment follows this form, nothing will happen.