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MEMBERSHIP APPLICATION

Please complete the following section to help maintain accurate records.


Please PRINT all information.  ONE PERSON PER FORM.


Title:  ............... First Name:  ...............................


Surname:   .........................................................................

Address  .....................................................................

.....................................................................................

......................................................................................

.....................................................................................

Telephone No:   ..........................................................


                                                                                                                 

Please give a contact telephone number in the event of an emergency

at a U3A General meeting.


...............................................................................................................


The above data will be held on a computerised data base and used solely

for U3A business and communications.


Please make cheques for £13.50 payable to Boston & District U3A.


Hand or send to the Secretary

Mrs M Murphy

17, Church Mews

SUTTERTON

Lincolnshire

PE20 2LE


NEWSLINE


Newsline is now available to be sent to you via E Mail.  This will save printing costs and postage if you are unable to attend the monthly meeting 


If you wish to register for this service, please complete your E Mail details below.


E Mail  ..................................................................................................


GIFT  AID.


PLEASE DELETE IF NOT APPLICABLE.


I wish my SUBSCRIPTION to be GIFT AIDED


I will be paying tax in excess of £4.00 this year.


Signed  ............................................................................







 










 

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