Crouch End & District

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Crouch End & District U3A Membership Application

Please select the type of membership you require
ConcessionFor those in receipt of means-tested benefits£5.00
Individual£30.00

Membership paid today continues until 1st January 2025

Then enter the following information. Fields in bold are mandatory.

About Yourself
Title      Forename      Surname       male female
E-mail      Verify E-mail
Mobile      Known as
Emergency contact
Upload photo (optional)      jpg, png, gif. Recommended max size 2MB
Provide a square format image (aspect ratio 1:1) as other formats will not suit the membership card layout
Own U3A (where you are a full member)
About Your Partner
Title      Forename      Surname       male female
E-mail      Verify E-mail
Mobile      Known as
Emergency contact
Upload photo (optional)      jpg, png, gif. Recommended max size 2MB
Your Address
No/Name      Street
Additional lines
Town      County      Postcode
Telephone
Payment

Amount to pay:  

Press the button below to proceed to PayPal to make payment
You may pay by credit or debit card or use a PayPal account
After payment, you should receive an e-mail from PayPal as a receipt and an e-mail from Crouch End & District U3A to confirm membership
The data you provide will be held electronically by Crouch End & District U3A to facilitate your membership.
If you have any concerns, please contact the Membership Secretary.
Problems or Enquiries?: membership@cedu3a.org.uk