Member of the An association for the education and recreational interest of local
THE THIRD AGE
WOKINGHAM U3A
Charity No. 1049995
Membership Secretary: 1 Mertonford, Pages Croft Wokingham RG40 2HQ
Telephone number 0118 9781647
MEMBERSHIP APPLICATION FOR THE YEAR ENDING 31ST MARCH 2012
Title .Forename ...Surname .. ..
Title .Forename .Surname .
Address
Postcode .Telephone No ..Date ..
e-mail address: (Optional)
Subscription: £10.00 per member per annum. Please make cheque payable to Wokingham U3A
Might you be interested in: (a) assisting with or leading a group (b) serving on or assisting the committee
(c) helping on a sub-committee for short periods
If you would be interested in helping with any of the above, please contact:
Sylvia Mason on 0118 979 3502 between 9.00am and 5.00p.m. or email her at : sa.mason3a@googlemail.com
U.K. Data Protection Act.
Personal information on this form will be held by Wokingham U3A on a computer system and used for administration purposes.
Muriel Froom
Membership Secretary.
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GIFT AID DECLARATION FORM Only one U.K. tax paying member per form is allowed by the Inland Revenue .
Name of Charity: Wokingham U3A
Charity Number: 1049995
Membership Number:
Title .Forename Surname ...
Address ..
Post Code
I want Wokingham U3A to treat all donations I have made since April 2002 and all Donations from me after the date of this declaration, until I notify you otherwise, as Gift Aid Donations.
Date .Signature ..
(I am a U.K. Tax payer)