Pershore and District U3A
Membership Application

Title:  First Name:  Surname: 
Address:
 
 
  Post Code:
Telephone #:
Email address:
Signed: Date:

I would like to become a member of the Pershore and District U3A and to participate in the Interest Groups, events and activities. A copy of the constitution is available from the U3A Secretary.

The subscription to July 2013 is £11.00 for single membership and £20.00 for two people (living at the same address). Cheques should be made payable to Pershore and District U3A.
Members of other U3A’s pay a reduced rate; do you belong to any other U3A, if so which one?

Please note that your details are held in the membership records and used for U3A purposes only.

 
To help maintain the variety of interesting topics for the monthly meetings, interest groups, events and activities it would be helpful if you could answer a few questions:
  • Monthly meetings - Do you have any particular interests for talks?






    Would you be prepared to give a talk at a monthly meeting?  Yes / No

    Subject: ………………

  • Interest Groups - Are there any subjects you would like to study?





    Would you be prepared to be a coordinator or leader of a study group?  
    Yes / No / in the future.


  • Where did you hear about Pershore and District U3A?



Please return the completed application form with your cheque to the Membership Secretary:
Mike Ainley, 38 Allesborough Drive, Pershore, WR10 1JH