Application Form

TO BE COMPLETED BY ALL MEMBERS

The Swindon U3A membership fee for 2018-19 is £32 per member.
If you are a member of another U3A which pays your capitation fee, your membership fee is £28.75.

(Your £32 would be worth £40)

Gift Aid allows Swindon U3A to recover tax from HM Revenue and Customs on a subscription. Each applicant for whom we claim Gift Aid must pay enough UK Income or Capital Gains Tax in the financial year to cover the amount we will reclaim. If you and/or the second applicant are a tax payer and wish Swindon U3A to treat this and subsequent payments as Gift Aid donations, please tick the appropriate box below.

Note: You may cancel this at any time and MUST cancel, if you cease to be a tax payer, by informing the office on
01793 614629 or the treasurer at treasurer@swindonu3a.org.uk.

Applicant 1:
First name: Last name: I am a new member
Known as: If left blank, this will default to your firstname
Email Address: Mobile:
I would like to receive the newsletter on-line
I agree that Swindon U3A can claim Gift Aid on my subscription and in doing so will pass my name and address to HMRC.
If you are a member of another U3A which pays your capitation fee, please tick the box below and provide the name of the U3A.
I am a member of U3A which pays my Third Age Trust capitation fee
I would like to help as a volunteer in the office

Have you expertise to share?  

Applicant 2:
First name: Last name: I am a new member
Known as: If left blank, this will default to your firstname
Email Address: Mobile:
I would like to receive the newsletter on-line
I agree that Swindon U3A can claim Gift Aid on my subscription and in doing so will pass my name and address to HMRC.
If you are a member of another U3A which pays your capitation fee, please tick the box below and provide the name of the U3A.
I am a member of U3A which pays my Third Age Trust capitation fee
I would like to help as a volunteer in the office

Have you expertise to share?  

Address: Please overwrite the town and STD code if necessary.
Address:
Town: Postcode: Telephone:
Payment details:

Please select one of these payment methods:

Paying via on-line banking is the cheapest option for Swindon U3A. Credit or debit card payments incur a transaction cost. Cheque and cash payments require considerable administration and incur costs above certain limits.

If not paying by debit or credit card, please use the payment reference given when you submit your application to enable this application to be associated with your payment. This reference will be the first twelve characters of your last name followed by a four digit number.
By Cash or cheque: Please send the payment to:
U3A Office, Gorse Hill Community Centre, Chapel Street, Swindon, SN2 8DA
On-line tranfer from your bank account: to Swindon U3A bank account -
SORT CODE: 40-52-40   ACCOUNT NO:  00022105

Miscellaneous:
I would like to receive Third Age Matters magazine from the Third Age Trust:
By agreeing to receive Third Age Matters, I / we agree to my / our names and address being passed to the distributor.

Please note that while your name address and telephone is the only required information, communication is increasingly on-line, with confirmation and other information via email.

In joining Swindon U3A, I / we give my / our consent for my / our personal details to be stored and used as stated in the Swindon U3A Privacy Policy.