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Carlton & Gedling

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Online Application Form

Please select a Membership Category and enter your details in the format suggested by the grey text in the boxes.

After submitting the form you will be transferred to the Payment page.

* indicates required information.

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Membership Category *

Associate Membership is for Full Members of another u3a.

Title *

Your Name *

First

Last

Preferred Name (if different to First name)

Email Address

Confirm Email

Mobile Phone Number

Emergency Contact (a friend or relative)

Emergency Contact's Phone Number(s)

I have permission to share their details

Would you like to receive the TAM Magazine? (Full members only) *

"Third Age Matters" is the magazine of the National u3a. If you ask to receive TAM, we will share your address with the distribution company so the magazine can be sent to you.

Category other only)

Would you like to Gift Aid your membership? *

YES - I am a UK taxpayer and I wish to Gift Aid this and all future subscriptions to Carlton & Gedling u3a. If I cease to be a taxpayer I will inform the u3a.
NO

If you are a UK tax payer, you may let us claim Gift Aid relief on your subscriptions (£3.50 on a £14 Individual membership). Please make a selection to indicate whether you wish to Gift Aid your subscriptions to Carlton & Gedling u3a.

Home u3a (Associate Members only)

Names of any other members of Carlton & Gedling u3a living at your address

House Number and/or Name *

Street *

District

Town *

Post Code *

Home Phone Number

How did you hear about our u3a?

From a friend or relative
I saw a poster or leaflet
I saw you on Facebook
I looked at your website
Other

Do you have interests or hobbies which you would like to learn more about?

Do you have particular skills or knowledge which you would like to share with the u3a?

Conditions of Membership *

I agree to abide by the Conditions of Membership

You can view the conditions on the Membership Policies page on this website

I will pay: *

1) Online by BACS Bank Transfer (preferred)
2a) Online by Credit/Debit Card
2b) Online by PayPal
2c) Online by Apple Pay (iPhone only)
3) In person at a General Meeting or Coffee Morning

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