Stourbridge
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Stourbridge U3A Membership Application
Please select the type of membership you require
Associate
members who have paid the full membership fee to another U3A for the current membership year
£11.00
Individual
£15.00
Joint
2 members living at the same address
£15.00
Membership paid today continues until 1st March 2025
Then enter the following information. Fields in
bold
are mandatory.
About Yourself
Title
Forename
Surname
male
female
E-mail
Verify E-mail
Mobile
Known as
Emergency contact
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
Surname
male
female
E-mail
Verify 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 Stourbridge U3A to confirm membership
The data you provide will be held electronically by Stourbridge U3A to facilitate your membership.
If you have any concerns, please contact the Membership Secretary.
Problems or Enquiries?:
