Sutton Coldfield
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Sutton Coldfield U3A Membership Application
Please select the type of membership you require
Individual
£5.00
Membership paid today continues until 1st September 2021
Then enter the following information. Fields in
bold
are mandatory.
About Yourself
Title
Forename
Surname
male
female
E-mail
Mobile
Known as
Emergency contact
Upload photo (optional)
jpg, png, gif. Recommended max size 2MB
Own U3A
(where you are a full member)
Tick if you pay UK tax and wish U3A to claim Gift Aid on your subscription (if applicable)
About Your Partner
Title
Forename
Surname
male
female
E-mail
Mobile
Known as
Emergency contact
Upload photo (optional)
jpg, png, gif. Recommended max size 2MB
Your Address
No/Name
Street
Additional lines
Town
County
Postcode
Telephone
Payment
Amount to pay:
Press the button below to proceed to PayPal to make payment
You may pay by credit or debit card or use a PayPal account
After payment, you should receive an e-mail from PayPal as a receipt and an e-mail from Sutton Coldfield U3A to confirm membership
The data you provide will be held electronically by Sutton Coldfield U3A to facilitate your membership.
If you have any concerns, please contact the Membership Secretary.
Problems or Enquiries?:
