u3a Membership Application

Southwell u3a Membership Application

Please select the type of membership you require

	Associate	£12.00	Other u3a members using Southwell u3a activities
	Associate Joint	£12.00	Other u3a members using Southwell u3a activities
	Individual	£15.00	Usual category for most members
	Joint	£15.00	Usual category for 2 partners
Membership paid today continues until 1st March 2027

About You

Title

Forename

Known as

Surname

Verify Email

Mobile

Emergency contact (Name and ‘phone number)

Upload photo (optional)

jpg, png, gif. Recommended max size 2MB

Provide a square format image (aspect ratio 1:1) as other formats will not suit the membership card layout

Own U3A (where you are a full member)

About Your Partner

Title

Forename

Known as

Surname

Verify Email

Mobile

Emergency contact

Upload photo (optional)

jpg, png, gif. Recommended max size 2MB

Your Address

House no/name

Street

Additional line 1

Additional line 2

Town

County

Postcode

Home telephone

Gift Aid

Are you a UK taxpayer? Through Gift Aid, we can reclaim the tax of 25p for every £1 of your donations and eligible membership subscription.

I am a UK tax payer and wish to Gift Aid this and all future subscriptions and donations that I make to Southwell u3a, unless I notify you otherwise. I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.
I do not wish to Gift Aid my subscriptions and donations.

Please notify us if you:

want to cancel this declaration
change your name or home address
no longer pay sufficient tax on your income and/or capital gains

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Payment

Amount to pay:

Press the button below to proceed to payment options
You may pay by credit or debit card or use a PayPal account

After payment, you should receive an email from PayPal as a receipt and an email from Southwell u3a to confirm membership

The data you provide will be held electronically by Southwell u3a to facilitate your membership.
If you have any concerns, please contact the Membership Secretary.

Problems or Enquiries?: memsecsu3a@gmail.com