Member of the                                                     An association for the education

UNIVERSITY OF                                        and recreational interest of local

THE THIRD AGE                                    people, usually in middle age or

later years, and not in full   employment.

WOKINGHAM U3A

Charity No. 1049995

Membership Secretary: Carole Beswetherick, 31 Hatch Ride, Crowthorne, RG45 6LF

Tel.No. 01344 771303

MEMBERSHIP APPLICATION FOR THE YEAR ENDING 31^ST MARCH 2009

Title………….Surname……………………………..Forename………………………

Title………….Surname……………………………..Forename………………………

Address…………………………………………………………………………………

Postcode…………………….Telephone No………………………..Date……………..

e-mail address:…………………………………………………………(Optional)

Subscription:        £10.00 per member per annum. Please make cheque payable to Wokingham U3A

DATA PROTECTION. The above details are held on a computer database to assist us in the management of the U3A.This information will not be disclosed outside the U3A. Please indicate if there is any information that you do not wish to be held.

Carole Beswetherick

Membership Secretary.

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

Details of Donor:                                                           Membership Number:………………

Title………….Surname………………………………… Forename…………………………...

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)