U3A Pretoria Membership Form
Answers to asterisked questions are ...
Welcome to U3A Pretoria!
If you are interested in joining, please complete this form.

Any questions? E-mail info@u3apretoria.org.za

First Name *
Surname *
Title
E-mail address *
Landline number
Cellphone number
What date is your birthday? (Day and month; year not compulsory!)
Physical Address
Postal Address line 1 *
Postal Address line 2 *
Postal Address line 3
Postal Code for Postal Address *
Physical address
If this is the same as your postal address, type SAME in Physical Address line 1
Physical Address line 1 *
Physical Address line 2
Physical Address line 3
Postal Code for Physical Address
Next
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