! APPLICATION FOR DECUS MEMBERSHIP       H Complete and mail this form to:	Digital Equipment Computer Users Society 				Membership Group 			        SHR1-4/D31	 				333 South Street 				Shrewsbury, MA. 01545-4195# 				Phone: (508) 841-3511,3502,3500  			 3  	    DECUS U.S. Chapter Application For Membership      J IMPORTANT! Please provide a complete mailing address including zip code in5 accordance with postal regulations for your locality.      : ___New Membership  ___Update to Current Membership Profile     > Current DECUS Membership Number_______________________________      Please print clearly or typeD Name________________________________________________________________D Company_____________________________________________________________D Address_____________________________________________________________D ____________________________________________________________________D ____________________________________________________________________D City________________________________________________________________C Phone: Business(___)_________________  Home (___)__________________ $ Address type   Home___    Company___     B Are you an employee of Digital Equipment Corporation? ___Yes ___No     8 Do you belong to a Local Users Group (LUG)? ___Yes ___No     J Do you wish to be included in mailings conducted by Digital (for marketing" purposes etc.)?      ___Yes  ___No     , Citizen of the United States?  ___Yes  ___No     D If no: Country______________________________________________________     9 1. How did you learn about DECUS? (check applicable item)      %  1__Another DECUS Member			9__Seminar ) 13__Local Users Group				4__Digital Sales    5__Hardware Pkg.				2__Symposia;  8__DECUS Chapter Office		       14__Special Interest Group $ 12__Advertising					6__Software Pkg.3  7__Software Dispatch			       10__Electronic Store 1     (Digital Newsletter)			3__Regional Conference      : 2. Primary business activity at your location: (check one) 			 4 Non-Computer Related			42__Trade (wholesale, retail)5 31__Manufacturing (other)		43__Research & Development * 32__Agriculture, Construction		44__Leisure# 33__Energy, Mining, Oil			45__Media = 34__Engineering, Architecture		46__Other_____________________  47__Travel, Transportation' 35__Utilities				Computer of DP Related < 36__Government - Local, State		25__Manufacturing (DP Equip.)7 37__Government - Non-Military		26__Software Development : 38__Government - Military		27__Communications & Networking+ 41__Education				28__Systems House, VAR/OEM - 40__Medical or Legal Services		29__Consultant 6 39__Finance, Banking, Insurance		30__Other DP Services     C 3.I wish to participate in the following DECUS U.S. Chapter Special    Interest Group(s):     )  3__Artificial Intelligence		15__Networks 7 37__Business Practices			36__Personal Computing Systems %  6__Data Management Systems		18__RSTS -  5__Fourth Generation Languages		38__Security   8__Education				21__UNIX -  9__Electronic Publishing		39__User Interface ) 10__Graphic Applications		26__VAX Systems @ 11__Technology, Hardware & Engineering	32__Site, Mgmt & Training2 16__Language and Tools			20__Third-Party Providers	 14__Mumps 8 31__DAARC (Data Acquisition, Analysis, Realtime and CIM)8  1__Business & Office Applications, Integration, & Mgmt.     D 4. Using the classification numbers from question 3, please indicate:    which SIG would be the primary focus for your interest?    #_____________      D 5. Using the classification numbers from question 3, please indicate<    which SIG would be of secondary focus for your interests?    #_____________      ; 6. Total employees in entire company/institution/government     department: (check one)     # 2__ 10,000 or More			6__ 250 to 499 $ 3__  5,000 to 9,999			7__ 100 to 249$ 4__  1,000 to 4,999			8__   6 to  99& 5__    500 to   999			9__ Fewer than 6     1 7. My Principal job function is: (check only one)      > 11__	General Management: CEO, President, Owner, Director, Vice$ 	President, Partner, General Manager1 15__	Purchasing: Agent, Buyer, Procurement Office 8 20__	Management, Computer/Systems Operations: VP/ManagerB 	MIS/EDP, System Manager, Programming Manager, Data Communications@ 	Manager, Telecommunications Manager, Computer Center/Operations 	ManagerH 22__    Staff, Computer/Systems Operations: Systems Analyst, Programmer,: 	Software Designer, Computer Operator, Technical LibrarianF 30__    Management, Engineering/Manufacturing: VP/Manager or R&D Cheif; 	Engineer, VP/Manager of Manufacturing, Plant or Production  	Manager, QC ManagerE 31__    Staff, Engineering/Manufacturing: Design/Production/Research/ > 	Applications Engineer, Member of Technical Staff, Technician,+ 	Production Control, QC Engineer/Technician D 12__    Financial: CFP, Treasurer, Controller, Accountant, Financial
 	Analyst, CPA G 13__	Administrative: Office services, Secretary, Clerk, Word Processing * 	Specialist, Librarian, Personnel DervicesD 14__	Sales/Services/Marketing: Sales Manager/Representative, Account; 	Representative, Advertising/PR, Customer Service, Training , 41__	Research: Scientist, Chemist, Physicist4 51__	Education: Dean, Processor, Teacher, Instructor? 50__	Consultant/Professional: Independent Consultant, Attorney,  	Medicine, Social ServicesB 52__	Other Specify: ______________________________________________     P                                                                                 E Signature____________________________________________________________ 