Member of the
THE THIRD AGE
.
Charity No. 1049995
Membership Secretary: 1 Mertonford, Pages Croft, Wokingham RG40 2HQ
Telephone number 0118 9781647
MEMBERSHIP APPLICATION FOR THE YEAR ENDING 31ST MARCH 2013
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

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UK 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
Details of Donor: 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)