Join Us | North Walsham Retired special interest groups

Membership Application Form

Title (Mr, Mrs, Ms etc.)

Forename

Surname

Address line 1

Address line 2

Address line 3

Postcode

Landline phone number

Mobile phone number

Privacy Statement

(Issued following the introduction of GDPR in May 2018)

North Walsham 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 North Walsham U3A will:
• Store it securely.
• Use it to communicate with you as a U3A member.
• Share your information with group leaders for those groups that you join.

I consent to my data being used for membership purposes as detailed above.

Do you wish to be a full or associate member?

Full Member (£15.00)

Associate Member (£12.00))

If an associate member, please name the u3a you are a member of:

Thank you for applying. Somebody will be in touch as soon as possible

Please pay by bank transfer

Sort Code 30 96 16

Account Number 00852956

Account name North Walsham u3a

Please use your name as reference

If you prefer to pay by cheque, make payable to North Walsham u3a and send to David Audley, Treasurer, North Walsham u3a, 61 Lynfield Road, North Walsham, NR28 0SW. Please write 'new member fee' on the back