MicroWiz Service Club                        Membership Application

[] Yes, I want to be a Member of the
MicroWiz Service Club  for only $19.95

(1- year membership) 

    [] if you're already a member, you pay only $7.95 for Renewal.


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Please print and fill out this form. This form can be used to apply for a new membership or renew your current Service Club Membership. Send this completed   form along with your annual payment of $19.95 (or $7.95 for renewal) to:

MICROWIZ
Ref: Service Club
PO Box 4035
YUMA, AZ 85366-4035
Office Use Only
Member Since:
Expiration Date:
Member No.:                                Type:
Renewal Date:

 

Make checks or money order payable to "MICROWIZ". If you have any questions,  feel free to contact us. 

Tel. (928) 726-0150 or E-mail: sales@micro-wiz.com.

Note: This service only applies to Personal Computers (not for business computers)