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Application for Membership of Horsley U3A
Title (Mr, Mrs,Miss Doctor, etc)
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Name
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Your Address
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Your Postcode
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Your telephone Number
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Your Preferred e-mail address
I am interested in the following Groups and Activities
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Do you have any particular interests for which we do not have a group?
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Please list any knowledge or interests that you might be willing to share with others
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How did you hear about the U3A
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Word of mouth
Horsley U3A website
Local notice board
Local event or other publicity
Already a U3A member elsewhere
Other
I understand that Horsley U3A is a self help organisation which depends on its members helping to organise and run its activities and that all members are asked to contribute where they can.
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Yes
I am willing to volunteer to assist with the following:
Monthly meetings -preparation and refreshments
Newsletter and website
Membership administration
Publicity and Marketing
Finance and systems
Helping with and Activity Group (please specify details below)
Helping to organise Outings or Social Events (please specify details below)
Helping other members with transport to meetings
Additional information- helping to run the U3A
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I understand that membership is open to residents of the Horsleys and surrounding villages who are no longer working full-time
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Yes
I understand that you will contact me with details of how to pay my subscription by cheque or BACS transfer (current subscription is £15 per head per year)
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Yes
I apply to become a member of the Horsley U3A
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Yes
I agree that Horsley U3A may store and use my details for communication and membership management purposes, email being the preferred method of communication
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I wish to receive the Third Age Trust magazines Third Age Matters and Sources and agree to my details being shared with third parties for that purpose only
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Yes
No
I wish to receive future Horsley U3A Newsletters and Bulletins
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By Email
On Paper
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