YOUR DETAILS
Full Name: Dr/Mr/Mrs/Miss/Ms/other__________________________________________
Known as name (if different): ___________________________________________________
Address: _________________________________________________________
Post Code: _______________
Email Address: ____________________________________________________
Telephone: __________________________________
Mobile: __________________________________
IN CASE OF AN EMERGENCY: Please provide a name and contact number
_______________________________________________________________
Please ensure you ask the person’s permission for us to store this information.
MEMBERSHIP FEES
Membership runs from 1st January to 31st December.
The fee includes the membership fee paid to our national organisation, The Third Age Trust, which provides a wide range of services and benefits. Including liability insurance cover. The membership fee is decided for the following year at the AGM in October.
For the year 2027 the fee is £12, with a £4 reduction for associate members (people who have full membership in another u3a).
New members joining during September or October (up to the AGM) the fee for 2027 is discounted by 50%
New members joining after the AGM, membership will be valid immediately, and be valid until the end of the following year
If applying as an Associate Member please state the u3a at which you are a full member here. ________________________________
Fees are payable by (please tick one)
- Bank transfer to Sort Code 60-15-29 Acc. No. 67540961 (put your name in reference box). Account name Northwich u3a
- Cheque made payable to “Northwich u3a”
- Cash
- Bank or Credit Card at monthly meetings
GIFT AID
If you are a UK tax payer we can claim back the tax paid on your membership fee from HMRC.
Please understand that if you pay less Income Tax and/or Capital Gains Tax than the amount of Gift aid claimed on all your donations it is your responsibility to pay the difference.
May we claim Gift Aid? YES / NO (please delete as appropriate)
TERMS AND CONDITIONS OF MEMBERSHIP
All members must
- Abide by the Principles of the
movement
- Always act in the best interests of the
and never do anything to bring the
into disrepute
- Abide by the terms and conditions of the constitution
- Treat fellow members with respect and courtesy at all times
- Comply with and support the decisions of the elected committee
- Advise the committee of any changes in your personal details
- Constitution and other Policies can be see on the Northwich u3a Web Site, Members Page
I hereby apply for membership of Northwich and confirm that I will abide by the terms of membership as stated above. I confirm that I have completed the form myself. I will make full payment of fees due as soon as is reasonably practicable.
Signed: _____________________________________________________
Date: ___________________
PRIVACY STATEMENT
Northwich U3A requires members to provide their personal details so that they can be kept informed about events and activities that are offered as part of their membership. We will
- Store it securely
- Use it to communicate with you as a U3A member
- Share your data with group leaders for those groups that you are a member of
- Send you general information about the Third Age Trust (The national office to which all U3A’s are affiliated)
Are you happy to be added to the direct mailing list for the u3a magazine – “Third Age Matters”.
If so, please tick here ____
Please be advised that you can request for your data not to be used for the direct postal mailing of the U3A magazine at any time by contacting the membership secretary on 07739428490
Return the completed form to:=
Geoff Wales, 6, Chestnut Grove, Barnton, Northwich. CW8 4ST
or email to:=
gww.u3a@gmail.com