VOICE Offline Member Application (ASCII) Please fill out the application for membership form. After you have read and agree to the terms and conditions of VOICE, send the signed membership form and check, (in US dollars) made payable to VOICE User Group, to: VOICE 60 Saint Patrick Street Apt. 628 Toronto, Ontario M5T 2X5 CANADA Your application for membership will be processed upon receipt. Confirmation of receipt and membership number will be sent to your email address as listed. If no e-mail address is supplied, receipt will be sent to your postal address as listed. ------------------------------------------------------------------------- Date: Membership Number: (To be assigned) First/Last Name: Company Name: Address: City: State/Region: Zip/Postal Code: Country: Home Phone: Work Phone: Fax: Email Address: ------------------------------------------------------------------------- * Which type of membership are you applying for (choose one)? __ Individual (US$25 per year) __ Corporate (US$100 per year) __ Student (US$10 per year) __ Senior (Ages 60 and up, US$10 per year) * Which of the following do you classify yourself? __ Home User __ SOHO User __ ISV/Developer __ Corporate User ------------------------------------------------------------------------- Terms and Conditions * By submitting your membership form, you agree to the following: -I have read and understand the VOICE By-Laws and agree to abide by them. -I have read and understand the VOICE Code of Ethics and agree to abide by them. Signature: ____________________________________________