Individual
£15.00
Renewal Date: 01/02/2026
Joint
£30.00
Renewal Date: 01/02/2026

Personal

Title:
First Name:
Known As:
Last Name:
Gender:

Contact

Email:
Home Phone:
Mobile Phone:
Preferred Phone?:

Membership

Would Volunteer?:
Renewal Contact By:
Receive General Emails?:
Application Origin:
(Please Select)

GiftAid

Using Gift Aid means that for every £1 of your subscription, this U3A receives 25p from HM Revenue and Customs, helping our funds go further. Please treat my/our current and future personal subscription/s as Gift Aid. I confirm that I am a UK taxpayer and that I pay at least as much tax on my income or capital gains as this U3A will reclaim. I will advise this U3A if I wish to cancel this declaration in the future or I no longer pay sufficient tax on my income or capital gains.

GiftAid?:

Partner

Title:
Please Select
First Name:
Known As:
Surname:
Gender:
Email:
Mobile:

Address

Address 1:
Address 2:
Town:
Postcode (all caps):

Emergency

Emergency Contact:
Relationship:
Phone Num: