Membership Application

YOUR DETAILS

Prefix

First Name

Last Name

Email Address

Phone - landline (if relevant)

Phone - mobile

Address

Street Address

City

Post Code

Country

MEMBERSHIP FEES

Choose your membership type

Choose your membership type

Standard Membership – £13
For new members joining Sutton u3a as their main u3a.

Associate Membership – £9
For people who are already a paid-up member of another u3a. You’ll be asked to give the name of your main u3a.

Membership type *Standard Membership - £13.00Associate Membership - £9.00

*Name of your main u3a *Please enter the u3a where you already hold full membership.

PAYING YOUR MEMBERSHIP FEE

You can pay your membership fee by bank transfer or debit/credit card. You’ll choose how you would like to pay at the end of the form.

NEWSLETTERS

Please indicate how you wish to receive your regular newslettersNewsletters can also be viewed on this website.EmailPaper by post (please only select this option if absolutely necessary)

EMERGENCY CONTACT DETAILS

Please give the name and telephone number of a relative or friend we can contact if you become ill or have an accident at a Sutton u3a meeting or outing.

Your emergency contact should not be your partner if they are also a member of Sutton u3a.

Name

Relationship

Landline number (if relevant)

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.

You can change your preferences about how we use your data at any time by contacting our Membership Secretary, Steve Harris:

Telephone: 020 8773 4394
Email: stevelharris@outlook.com

GIFT AID

If you are a UK taxpayer, the value of your membership subscription can be increased. Sutton u3a can claim 25p of every £1 of your subscription at no extra cost to you. Gift Aid is reclaimed by us from the tax you pay for the current tax year.

As a UK taxpayer, I agree to Sutton u3a claiming tax under the Gift Aid scheme on my subscription and any future subscriptions. I confirm that I am paying an amount of UK income and/or capital gains tax that at least equals the amount the charity will claim.Gift Aid cannot be claimed on my Sutton u3a subscription.

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.

HOW DID YOU HEAR ABOUT SUTTON u3a?

Please select an option belowFrom a friend or relative

At an event – please specify which:

From a poster – please specify where:

Other – please specify:

PAYMENT

How would you like to pay? *Bank transferDebit or credit card

Card payment: £13.00

Your card will be charged £13.00 when you submit this form.

Card payment: £9.00

Your card will be charged £9.00 when you submit this form.

Amount to pay by bank transfer: £13.00

Amount to pay by bank transfer: £9.00

Pay by debit or credit card *

Pay by bank transfer

Account name: Sutton u3a
Sort code: 30-98-36
Account number: 01739711
Payment reference: your surname and first name

Important: Please make your bank transfer after submitting this application. This gives us the information we need to match your payment to your application.

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