u3a

Hungerford and District

Membership Application or Renewal

Is this a NEW Application or a RENEWAL

NEW Application
RENEWAL

Title

Your full name

First

Last

Your Email

Please note that we use email for all communications. If you are unable to receive these, please contact us separately via the Contact page

runs that 30th

Your preferred Telephone Contact number

Your Address, including PostCode

Annual membership runs from 1st October to 30th September. Please indicate which type of Membership you are applying for

Full member (Annual £18; after 31 March £9)
Associate member (Annual £14; after 31 March £7)

If you wish to receive Third Age Magazine please tick the box below and add £4 to the relevant membership fee stated above.

I consent to my data being shared with the distributors of Third Age Magazine.

If applying for Associate membership, please indicate your other U3A

Membership fees can be paid by Bank transfer (preferred) or by Cheque

Bank transfer to 30-94-46; 18444160; Hungerford & District U3A (Business)
Cheque : please send to The Treasurer at 4 Pound Piece, Hungerford, RG17 0QW

I apply for new membership or renewal of Hungerford & District U3A and agree that I will abide by the terms and conditions of membership (as explained on the website Membership page). I agree to the privacy statement and I confirm that I have completed the form myself (or have been assisted to do so). I will make full payment of fees due as soon as the form is submitted. Tick this box to confirm.

I agree