Application form - New Members - Chinnor & District

NEW MEMBER REGISTRATION - If you are already a member of another u3a please DO NOT use this form. Payment method will be advised. Please complete the form and press the REGISTER button below. The membership subscription fee for this u3a is £15 and Gift Aid will be claimed on this amount. The fee secures membership of the u3a only and does not secure rights to personal use of any facilities or services provided by the u3a. *

Would like to be known as:

Address

Town or City

Post Code

Phone

Mobile Phone

Email Address *

Special Interest Group(s) you wish to join:

Previous Occupation or Specialist Skills:

Payment MethodOnce payment has been made, please notify the membership secretary of this fact together with the method of payment used

PRIVACY STATEMENT Chinnor and District u3a requires members to provide their personal information in order that they can be kept informed about events and activities. Chinnor and District u3a will: • store it securely • use it to communicate with you as a u3a member • share your information with group co-ordinators • send you general information about the Third Age Trust. I consent to my details being used for membership purposes. You can withdraw consent at any time by contacting memchinnoru3a2@gmail.com