Stourbridge

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Stourbridge u3a Membership Application

Please select the type of membership you require
Associatemembers who have paid the full membership fee to another U3A for the current membership year£6.00
Individual£10.00
Joint2 members living at the same address£10.00

Membership paid today continues until 1st March 2025

Then enter the following information. Fields in bold are mandatory.

About Yourself
Title      Forename      Surname
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
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 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?: