Old: Membership application form

If you have any queries about membership, please contact the Membership Secretary at members@salfordu3a.com

Applicant 1

Title

Name

Address incl post code

Dob

Mobile number

Landline

Applicant 2 living at same address (for joint applications only)

Title

Name

Dob

Mobile number

Emergency contact details (who we may contact in the event of an emergency)

Contact name

Relationship to applicant(s)

Phone number

National u3a magazine

The national magazine ‘u3a matters’ is delivered directly to your letterbox 5 times per year and is included in your Salford u3a membership.

If you prefer NOT to receive ‘u3a matters’, please tick here:

I do NOT wish to receive the national magazine

How did you hear about us?

If other, please specify…

GIFT AID DECLARATION
Salford u3a is able to benefit by a further 25p for every £1 paid, at no additional cost to you, using the Government’s Gift Aid scheme

Please select one of the following options
*

Yes – the applicant paying for membership is a UK taxpayer and would like Salford u3a to treat all membership subscriptions as Gift Aid donations. I will notify Salford u3a if/when this no longer applies

No – the membership subscription is not to be treated as a Gift Aid donation

Payment options

My/our membership subscription is being paid by:
*

BACS (our preferred option)

Cheque

Card

Privacy statement

Salford u3a requires applicants to provide their personal information so that you can be kept informed about events and activities that are offered as part of your membership. By submitting this membership application, you give us permission to use the information that you have supplied for membership purposes, to share with group convenors and, if applicable, to be added to the direct mailing list for Third Age Trust magazines.

Membership terms and conditions

All members must:
- act in the best interests of the u3a and never do anything to bring the u3a into disrepute
- treat fellow members with respect and courtesy at all times and act in accordance with the Salford u3a Code of Conduct
- comply with and support the decisions of the elected committee
- advise the membership secretary of any change in your personal details

I/we wish to apply for membership of Salford u3a