Faringdon & District U3A: Membership Renewal 2019
Please complete this form to renew your membership of our U3A. We ask that you pay your membership fee using Internet Banking, and payment should be made to our U3A bank account by using SORT CODE: 30-93-18 and account number: 00703609. Please include your name as a reference.

To help our administration process, please ensure that this form is submitted on the same date as the actual payment (no future-dated payments please).

Questions that we need you to answer are marked with an asterisk.

This form can be used for two people, providing they have the same address. If claiming Gift Aid when completing the form for joint applicants, applicant 1 should be the taxpayer. (Note that when only one applicant is a tax payer, it is acceptable for that person to claim Gift Aid on the full amount, providing the payment does not come from the non-taxpayer’s bank account).

Membership Fees for 2019 - £15 single / £24 for two at same address. Please note that the fees have reduced for 2019.

We are very pleased that you are ready to renew your membership, and are sure that you will continue to enjoy being part of our U3A in this new membership year.

Member 1 Details & Gift Aid
We need to know a minimum about you, in order to get in touch if we need to. We limit this information to your name, postal and email addresses and phone number and keep it safe on our secure database.

We also ask if your postal address and/or phone number have changed - you can add the details if they have.

Title of Member 1 *
Your answer
Forename of Member 1 *
Your answer
Surname of Member 1 *
Your answer
Email address of Member 1 *
We would like you to type in your email address here, even if we already hold it on our database. This ensures that we have the most up-to-date details. Please check carefully that your email address is correctly typed.
Your answer
Have any of your contact details changed since your last renewal *
Please tick one of the boxes below, and add any changed items in the box(es) provided
Address
If your address has changed from last year, please type in your new address, including your post code.
Your answer
Phone number
If your phone number has changed from last year, please insert it here, including the area code.
Your answer
Gift Aid donation *
I would like to gift aid my subscription and I agree to your reclaiming tax on it. I further declare that I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. I further understand that my data will be shared with HMRC.
Member 2 Details (if joint membership)
Title of Member 2
Your answer
Forename of Member 2
Your answer
Surname of Member 2
Your answer
Email address of Member 2
If not entered, we will assume that it is the same as for Member 1
Your answer
Third Age Matters Magazine
Are you happy to be added to the direct mailing list for the Third Age Trust magazines - Third Age Matters and Sources?
Third Age Matters *
I/We consent to my/our data being shared with the company who oversee the distribution of the Trust Magazines. The chosen GDPR lawful basis for processing your data for the Third Age Trust magazines is "consent".
Privacy Statement
Faringdon & District U3A requires members to provide their personal information so that you can be kept informed about events and activities that are offered as part of your membership. In collecting your information Faringdon & District U3A will:

- Store it securely.
- Use it to communicate with you as a U3A member.
- Share your information with group leaders/conveners for those groups that you are a member of.
- Send you general information about the Third Age Trust. *
- Share your data with the company who oversee the distribution of the Faringdon & District U3A Newsletter. **

The chosen GDPR lawful basis for processing your data for membership services is "contract".
* The Third Age Trust is the national office to which all U3As are affiliated.
** Currently Hertfordshire Display plc.

Terms and Conditions of Membership
All members must:

- Abide by the Principles of the U3A movement.
- Always act in the best interests of the U3A and never do anything to bring the U3A into disrepute.
- Abide by the terms and conditions of the constitution.
- Treat fellow members with respect and courtesy at all times.
- Comply with and support the decisions of the elected committee.
- Advise the committee of any change in your personal details.

Declarations
I/We apply for membership of Faringdon & District U3A and confirm that I/We will abide by the terms of membership as stated above. I/We confirm that I/We have completed the form myself/ourselves. I/We will make full payment of fees due.
Declarations confirmation *
Required
Payment
Payment *
Payment should be made by Online Bank Payment. Make a payment to our U3A bank account, by using SORT CODE: 30-93-18 and account number: 00703609. Please include your name as a reference.
Please specify the other amount & reason
For example, Capitation Fee
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service