Membership Form

Please contact the Membership Secretary for Membership Fee as there is a pro rata system and you will be advised of the amount due.

Memberships fees are due on 1st September each year.

Membership Status *New MemberCurrent Member

Membership Number

Title *

First Name *

Surname *

How would you like to be addressed? *

Email Address *

Phone Number *

Address 1 *

Address 2 *

Post Code *

Emergancy Contact (Name and Telephone No.)

Activities? *

Membership Fee and Weekly Group FeeNote: Group Leaders do not tick for your own group as you will be chargedMembership Fee (£50 to August 31st 2026)+ Badminton (£10 to August 31st 2026)+ Monday Art (£10 to August 31st 2026)+ Guitars+ (£10 to August 31st 2026)+ Pickleball (£10 to August 31st 2026)+ Table Tennis (£10 to August 31st 2026)+ Ukulele Main Group (£10 to August 31st 2026)

u3a Magazine at £4 extraYesNo

Tick If You Are A Group Leader (Attending other groups)Going to other groups

Tick If You Are A Group Leader (NOT attending other groups)Not attending other groups

FeePlease pay the fee shown as soon as possible after completing the form

Payment of fee options *Please select how you would like to pay your fees. How to pay details are below the form.Bank Transfer (preferred)ChequeOther (please give details in the box below)

Other details0 / 180

Please select one option (only for new members)

Choose one option *Verwood u3a can claim gift aid from the government at no cost to youI am a U.K. taxpayer and agree Verwood u3a can claim Gift AidI am not a U.K. taxpayer or do not agree Verwood u3a can claim Gift Aid

Date *

Day

Month

Year