Application for Membership

On-line Application for Membership of U3A in Kennet

Your Details

Title and Full Name (required)

Preferred Forename

Full Address

Post Code

Landline Telephone

Mobile Telephone

Your Email address (required)**

**To reduce costs, we will communicate with you via email where possible.

Emergency Contact Name and Number

Please ensure that your emergency contact has agreed to the sharing of their contact information and has seen a copy of our Privacy Policy at u3a in Kennet policies and procedures.

Special requirements

NB If you would like to inform us of a disability or other issue, please let us know here.

I first heard about U3A in Kennet (please select one)
From a friendLocal AdvertWeb SearchOther (please specify here)

MEMBERSHIP FEES

This covers fees paid to our national organisation, the Third Age Trust, including liability insurance cover.

Membership fees are payable by: (please select one)

Bank transfer of £15.00 or £9.00 to Lloyds Bank 30-92-63 42720960. Please quote surname and 'NMBR' (standing for New Member) as a reference.Cheque for £15.00 or £9.00 to <b>U3A in Kennet</b> and post to Mr Mike Morison, Membership Secretary, U3A in Kennet, Preston House, Preston, Chippenham, SN15 4DX

See Terms and Conditions of Membership, and Privacy Statement, below.

GIFT AID

 Registered Charity number 1028680
I wish to Gift Aid my annual membership fee (donation) of £12 (or £9), and any donations I make in future, or have made in the past 4 years, to u3a in Kennet.

NATIONAL U3A PUBLICATIONS - THE THIRD AGE TRUST

I wish to receive u3a National publication by post.

TERMS AND CONDITIONS OF MEMBERSHIP

All Members must:

• abide by the principles of the U3A movement.

• always act in the best interest of the U3A and never do anything to bring the U3A into disrepute.

• abide by the terms and conditions of the constitution.

• treat fellow members with respect and courtesy at all times.

• comply with and support the decisions of the elected committee.

• advise the committee ((ie Membership Secretary) of any change in your personal details.

• abide by the Member Code of Conduct.

PRIVACY STATEMENT

The u3a in Kennet processes member information (including photographs and emergency contact number) so that we can keep you informed about events, groups and activities as part of your membership, and to ensure appropriate communication can be made in the event of an emergency. The u3a in Kennet’s lawful basis for collecting this information is legitimate interest/contract. In processing your information, the u3a in Kennet will:

• store it securely (using the Beacon database).

• use it to communicate with you as a u3a member.

• share your information with group leaders for those groups you are a member of.

• send you general information about the Third Age Trust (The Third Age Trust is the national office to which all u3as are affiliated).

GIFT AID - registered Charity number 1028680

Gift Aid is reclaimed by the u3a in Kennet from the tax you pay for the relevant tax year. Your address given identifies you as a current UK taxpayer. Having ticked the box and signed the form, you have declared that you are a UK taxpayer and understand that if you pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all your donations in that tax year, it is your responsibility to pay any difference.
Please notify the Membership Secretary u3a in Kennet if you:

• want to cancel your donation.

• change your name or home address.

• no longer pay sufficient tax on your income and/or capital gains.

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

NATIONAL PUBLICATIONS – THE THIRD AGE TRUST

The Third Age Trust is the national organisation to which all u3as are affiliated.

By ticking the box on the front of the form, you consent to your data being shared with the company who oversees the distribution of the Trust magazines.

As part of your membership, you will be sent the Trust’s magazine, Third Age Matters. If you no longer wish to receive it, please inform the Membership Secretary on membershipsec@u3ainkennet.org.uk or 01249 891093.

I apply for membership of the U3A in Kennet and confirm that I am not in full time employment and that I will abide by the terms of membership as stated above. I confirm that I have completed the form myself. I confirm that I have sent a cheque for £15.00 (or £9), OR that I have made a payment by bank transfer. I confirm that I have consent from my emergency contact to the sharing of their data.

Returning this form:

Once completed, please click the SEND button below.   A copy of the relevant parts of the form will be sent to you by return email for your records.

Please note:  If there are any errors in your application, an error message is displayed at the bottom of this page (after you click send).  Please check to verify your application was complete and properly sent.