Membership application form (Apr 26-Mar27)

YOUR DETAILS

Prefix

First Name

Last Name

Email Address

Phone - landline (if relevant)

Phone - mobile

Address

Street Address

City

Post Code

MEMBERSHIP FEES

Choose your membership type

Standard Membership £22.00 Apr 26 -Mar 27: These fees include a £4.00 capitation fee paid to our national organisation, the Third Age Trust, which provides a wide range of services and benefits, including liability insurance cover.
Associate Membership £18.00 Apr 26 - Mar 27: If already a member of another u3a branch where capitation fee h.as been paid (please include name of other branch when prompted).

Membership type *Standard Membership (Mar26 - Apr27) - £22.00Associate Membership (Mar26 - Apr27) - £18.00 (requires other u3a branch name)

*Name of other u3a branch *

MAKING PAYMENT
You can pay by bank transfer, using the details below, or if you would prefer to pay via Stripe (a secure online payment system), please go to the end of the form to do this before submitting.

Paying by bank transfer::
Account Name: Sutton u3a
Sort Code: 30-98-36
Account number: 01739711
Reference: New membership

MEMBERSHIP CARDS
Your membership card with your membership number will be issued via an email or alternatively if you also require a paper copy, please enclose a STAMPED ADDRESSED ENVELOPE to receive your membership card by post via: Steve Harris, 15 Hackbridge Park Gardens, Carshalton, SM5 2HA.

Newsletters

Please indicate how you wish to receive your regular newsletters(note - newsletters may also be viewed on this website).EmailPaper (by post - please only tick this box if absolutely necessary)

EMERGENCY CONTACT DETAILS

We are required to keep a record of the name and telephone number of a relative or friend who may be contacted should you become ill or meet with an accident at any meeting or outing that we may arrange. This should not be your partner if they are also a member of Sutton u3a.

Name

Relationship

Landline number

Mobile number

TERMS AND CONDITIONS OF MEMBERSHIP

Members should not do anything to bring the u3a into disrepute.
Members should not do anything to undermine the work of the Executive Committee or Social Club Sub Committee.
The u3a operates a policy of zero tolerance if a member behaves in a threatening, aggressive or intimidating manner towards any member of the Executive Committee or Social Club Sub Committee.
Fellow members should be treated with respect.
Members must keep their contact details up to date with Membership Secretary.

PRIVACY STATEMENT

Please tick the box below to give us permission to use the information you have supplied in the following ways:

To store it securely for membership purposes.
To communicate with you as a u3a member.
To share with group leaders for those groups that you are a member of.
To send you general information about the Third Age Trust (the national organisation to which u3as are affiliated.)

I consent to my data being used for membership purposes as detailed above.

If you wish to be added to the direct mailing list for the Third Age Trust magazines, Third Age Matters and Sources, please tick the box below . Note that digital copies (text only) are available at www.u3a.org.uk/news/publications. Our u3a is charged for all posted copies. (NB Associate members should order this only through their primary u3a, and couples who are both members will only receive one copy)

I consent to my data being shared with the company who oversee the distribution of the Trust Magazines.

Signature

I apply for membership of Sutton u3a and confirm that I will abide by the terms of membership as stated above. I confirm that I have completed the form myself.

Please be advised that you can request for your data not to be used for any of these purposes at any time by contacting Steve Harris, Membership Secretary, telephone: 020 8773 4394 or Email: info@suttonu3a.org.uk

Finally, please let us know how you heard about Sutton u3a:From a friend/relative

At an event - please specify which:

From a poster - please specify where:

Other - please specify:

Membership Payment: Credit / Debit Card *

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