Membership Application Form

You do not need to complete a form if you are already a member of Deepings u3a

To Renew just make a BACS payment or send a cheque to the Membership Secretary. Making sure your Membership No. is in the Reference or on the back of the cheque. Any changes to contact details should be notified to the Membership Secretary.

Please read the Notes before completing the form;

NOTES:

1      CHEQUES - post or deliver to The Membership Secretary at:

               23 The Parslins, Deeping St James, Peterborough PE6 8NQ

               BACS - payment to a/c Name: The Deepings U3A

                                                  Sort Code: 20-81-20

                                                  Account No: 63194272

2      Two people living at the same address only need to complete one form

3      Member 1 must obtain permission from Member 2 before completing the form.

Fields marked with * are required

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Member 1 - Name *

First

Last

Prefer to be known as

Address *

Postcode *

Email

Telephone No. / Mobile No.

Full Membership £10 each or Associate Membership £6 each (copy) *

• Full Membership
• Associate Membership

If Associate Membership state which Prime u3a and Membership No. at Prime u3a (copy)

Member 2 - Name (living at same address)

First

Last

Mobile No. which

Prefer to be known as

Email

Telephone No. / Mobile No.

Full Membership £10 each or Associate Membership £6 each

• Full Membership
• Associate Membership

If Associate Membership state which Prime u3a and Membership No. at Prime u3a

u3a Matters - National Magazine - £4 pa for 5 copies - if required tick box below. By requesting the magazine I/We consent to our data being shared with the company that oversees distribution

• National u3a Magazine - £4

Total Paid *

If the Total Paid is for more than one person please indicate if from joint account

• From joint account (used for Gift Aid purposes)

Date (dd/mm/yy)

Payment Method *

• Bank Transfer - BACS
• Cheque

By applying for membership of The Deepings u3a I/We confirm will abide by the Terms and Conditions of membership. The Constitution and other documents are available on the website under "Useful Info" *

• Accept T&Cs

How did you hear about Deepings u3a?

• Friend or Acquaintance
• Advert in Deepings Advertiser
• Leaflet at Community Centre/Doctors
• Other

GIFT AID

Members who are taxpayers may Gift Aid their subscription which allows us to claim 25% extra from HMRC. A separate declaration is required for EACH TAX PAYER just once. Please notify Deepings u3a at giftaid@deepingsu3a.com if you want to cancel this Gift Aid Declartion, change your name or address or no longer pay sufficient tax on your income and/or capital gains.

GIFT AID - Member 1 *

• I am a Taxpayer and wish to Gift Aid this years donation (subscription), future donations and any made in the past 4 years.
• Not applicable.

GIFT AID - Member 2 *

• I am a Taxpayer and wish to Gift Aid this years donation (subscription), future donations and any made in the past 4 years.
• Not applicable.

Submit

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 Deepings u3a 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.

PRIVACY STATEMENT

By applying for or renewing your membership you are giving us permission to use the information you have supplied in the following ways:

• To store it securely for membership purposes.
• To communicate with you as a u3a member, by email where possible to reduce administrative costs.
• To share with group leaders for those groups of which you are a member.
• To send you general information about the Third Age Trust (the national organisation to which u3as’ are affiliated.)         

Please be advised that you can request for your data not to be used for any of these purposes at any time by contacting the Membership Secretary.

CONSENT FOR PHOTOGRAPHIC AND VIDEO IMAGES

Occasionally Deepings u3a would like to take your photograph for promotional purposes.  These images may appear in u3a printed publications, newspapers, magazines or on our website.

To ensure we comply with the General Data Protection Regulations we need your consent before we take and use any photographs of you.    By applying for or renewing your membership you agree to allow this.

Images taken will be used for no other purpose and you may request their deletion at any time.