RUG Membership Application Form

To join the ROOTS Users Group of Arlington (or to renew your membership), please fill out the form on this page, print out the next page, and send it along with a check for the appropriate amount to the address on that page.

RUG Membership Director
P.O. Box 100082
Arlington, VA 22210-3082

You will then receive a new member packet including the most recent membership roster, the cumulative newsletter article index, and information about other items of interest such as utility programs on disks.

As a convenience to our members, we accept one, two, or three year memberships for $15US*, $30US*, and $45US* respectively. The latter is particularly attractive to non-USA members who often must pay a significant surcharge to transmit US funds.

* Non-US residents please pay with a money order drawn on a bank which is a member of the U.S. Federal Reserve. Our bank charges a $5 fee to process a foreign check.
RUG Home Page

Membership Form

image indicating a Required field: indicates that the particular fields are required, i.e., must be filled in.

image indicating a Required field:First Name:
 Middle Name (or Initial):
 image indicating a Required field:Last Name:
 Suffix (Jr./Sr./etc):
Additional name(s) at same address:
We use your mailing address to mail our newsletters to you. Please fill in your mailing address as completely as possible so that our newsletter will be delivered to you. For the Zip/Postal Code in the United States, please include ZIP+4 (e.g., 12345-6789).
image indicating a Required field:Address:
image indicating a Required field:City:
image indicating a Required field:State/Province: image indicating a Required field:Zip/Postal Code: image indicating a Required field:Country:
Phone No.: Country Code: Number:
image indicating a Required field: RUG Membership: New or Renewal
New I am a new member, joining for the number of years indicated below.
Renew I am renewing my RUG membership as indicated below.
If you are renewing, please enter your RUG Member Number:

image indicating a Required field:How many years of RUG membership?
$15 for One Year $30 for Two Years $45 for Three Years
Your email address is important to us. The RUG sometimes must communicate quickly to its membership. Your email address is the means we use for that communication. In addition, you'll receive an electronic copy of your membership application information via this email address.
E-mail Address:
Note that we ask if we can include your name, address, telephone number, and email address on our published membership roster. With your permission, we publish this as a part of our newsletter once a year along with a zip code index. The intent is to make it possible for members to communicate among themselves and for those in a given area to discover each other. We never provide this member list to others or post it in a way that makes it easy for anyone to capture the email addresses. We only publish data if we have your permission.
May We Publish?
image indicating a Required field:My name, address, telephone number, and email address can be included in the RUG's published membership roster. Yes No
If you give us permission, you must also sign the printed form.

Do NOT print this form; print the NEXT page.