MELBOURNE DB2 USER GROUP INC.

A.         Type of Membership (please check one box)
              	Installation  Corporate or Government Organisation
              	which is licensee of DB2
              	Vendor  	Corporation that supplies DB2 related
              	software, services or tools
              	Individual  	Person who has a legitimate interest in
              	the objectives of the user group
		On-Line 	an Individual who only utilises the on-line services
		of the association including, but not limited to, its Internet facilities.
B.         Membership Details
Company Name/Individual Member Name : 
Company Address                     : 
PostCode                            :      
Telephone                           :     
Fax Number                          : 
Email Address                       : 

                       
Authorised representative           Title                       Position


Nomitated Attendees                Position                      Address