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Application to run a U3A Castlemaine (U3ACM) Class in 2027
This section deals with your personal information.
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Family name *
First name *
Street address 
Information for this and remaining questions in this section are only required if your details have changed or are not already on the UMAS database
Suburb and postcode
Mobile number
Telephone number (land line)
Email address *
If you have more than one Class Leader, or a Class Rep, please add their name, email and telephone details
Emergency Contact
If you are not already a member of U3A Castlemaine, please advise an emergency contact, name, relationship and phone number
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