Please complete this application form. HUGE member sponsor__________________________ NAME__________________________________________________ (First) (MI) (Last) ADDRESS ______________________________________________ HOME PHONE (___)_____________________ CITY_____________________ STATE______ ZIP _____________ OCCUPATION _________________________ COMPUTER MAKE _______________ MODEL ____________ DO YOU HAVE A MODEM? YES NO May we release your name and address to vendors that we support? YES NO Bring it with you to the General Meeting or mail with $12.00 to: HUGE, INC. Attn:Membership PO Box 380027 East Hartford, CT 06138-0027