2024 6 month Member applic form V2.pdfJoin 

Membership is open to anyone who is retired from full-time work and who has an interest in continuing to learn. You may join any of our special interest groups (space permitting) whether you are an expert or a complete novice wishing to develop a new interest.

The membership year is from 1st April to 31st March.  The membership fee from 1 October 2023 to 31 March 2024 is £15 per member.

 

Please click here for the terms and conditions of membership

Please either complete the form below and click on the Submit request button or download it by Clicking Here , then complete and send to the membership secretary.

If in doubt about the form please contact the membership secretary; email:  membership@cvu3a.uk 



Personal

Title:
(Please Select)
Forename:
Surname:
Known As:
Initials:
Is Partner a member of the Chess Valley u3a:

Membership

Gift Aid: I confirm that I would like the Chess Valley U3A to reclaim the tax on and membership subscription or donation that I make and all subscriptions and donations in the future until I notify you otherwise.  I have paid an amount of UK income tax or capital gains tax equal to the any tax reclaimed. (remember that if you receive a company pension, income tax may  well be deducted at source).

GiftAid?:

Data Protection

In belonging to Chess Valley U3A you consent to us using the personal information you have provided in accordance with our policies. This information will be stored securely,  outside of Chess Valley U3A, and will only be shared with our software provider, HMRC (if applicable for Gift Aid),  the Third Age Trust (if you receive TAM magazine) and our newsletter distributor
If you not do not wish us to store and use your information, please contact the Membership Secretary.

I agree to Chess Valley storing and using my details in accordance with their policies

Data Consent Date:
RadDatePicker
RadDatePicker
Open the calendar popup.

Volunteer Details

Contact

Email:
Home Phone:
Mobile Phone:
Preferred Phone:
Emergency Contact Name:
Emergency Contact Relationship:
Emergency Contact Number:

Address

Address 1:
Address 2:
Address 3:
Town:
County:
Postcode:

Additional

If you would like to assist with the leadership of an existing group, suggest a new group or just include some extra details about your membership request please add below.