Member of the                                                 An association for the education and recreational interest of local

UNIVERSITY OF                                                people, usually in middle age or later years, and not in full employment.

THE THIRD AGE                                                       

                                                                                                                                                                                         

 WOKINGHAM U3A

Charity No. 1049995

 

Membership Secretary: 1 Mertonford, Page’s 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.

___________________________________________________________________________

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)