2019 S2 MEMBERSHIP APPLICATION
IN YOUR APPLICATION for Semester 2 only membership, please provide your PREFERRED FIRST NAME only (for your name badge), your surname, postal address, as much other contact information as possible, and $40 payment method (PLUS any extra fees for Excursions and Courses).

PLEASE NOTE:
1. We do not automatically acknowledge Membership Applications. You may assume you have membership if you have paid the subscription and submitted this application. After you submit this form please click on the link to our comprehensive ENROLMENT APLICATION form.

2. We warmly welcome you joining us and enjoying our range of interesting courses, talks and excursions. Please be aware Newcastle U3A is operated separately from nearby Associations.


CONTACT DETAILS
First Name: *
Enter name preference as you wish to appear on your membership badge
Your answer
Last Name: *
Your answer
House Number and Street, or PO Box, Address: *
Enter ONLY the number and name of street, or PO box number,in usual postal format; e.g.,349 Lade Street or PO Box 210 (Do NOT enter SUBURB here, see next item)
Your answer
Suburb: *
Enter ONLY the FULL Australia Post SUBURB name; e.g., Hamilton, Broadmeadow. (DO NOT enter here any street or PO address - only your SUBURB name please - see above item)
Your answer
Postcode: *
Enter Australia Post Postcode for the above suburb
Your answer
Email Address:
Our default means of quickly communicating Programs, Newsletters, Course Notifications to you
Your answer
Email Address check: *
Please check and confirm your email address entry above,or that it has been left intentionally blank.
Required
Landline Number:
Omit area code.
Your answer
Mobile Number:
Your answer
Additional information you would like held with your Membership record:
Your answer
PAYMENT *
Advising us how your annual subscription was paid is essential for cross-referencing our records. This is required before full NU3A membership or enrolment in selected courses can be confirmed. Membership fee instructions are detailed in our current Program.
When you have paid please email Newcastle U3A at newcastleu3a.au@gmail.com with your name as above and date of payment and a copy of your receipt if possible
CHECK *
I have checked information entered above to be correct, and agree to abide by the policies, by-laws and constitution of Newcastle U3A
Required
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