Brighton & Hove
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Brighton & Hove U3A Membership Application
Please select the type of membership you require
Standard
Full Individual Membership
£40.00
Membership paid today continues until 1st August 2023
Then enter the following information. Fields in
bold
are mandatory.
About Yourself
Title
Forename
Surname
male
female
E-mail
Mobile
Known as
Emergency contact
Upload photo (optional)
jpg, png, gif. Recommended max size 2MB
Own U3A
(where you are a full member)
Tick if you pay UK tax and wish U3A to claim Gift Aid on your subscription (if applicable)
About Your Partner
Title
Forename
Surname
male
female
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 Brighton & Hove U3A to confirm membership
The data you provide will be held electronically by Brighton & Hove U3A to facilitate your membership.
If you have any concerns, please contact the Membership Secretary.
Problems or Enquiries?:
membership@brightonandhoveu3a.org