Membership Form Xmas

Fields marked with an * are required

SINGLE MEMBERSHIP

DOUBLE MEMBERSHIP

ADDRESS


Membership Cost 2019 (1st Jan. - 31st Dec.)

Christmas Lunch cost 2018 (Optional) Pay by 16th November

Payment Method

DIRECT BANK TRANSFER
CBA Bank, Account Name: U3A Hobart
BSB: 067 002 Account No: 1047 7074
VERY IMPORTANT: Put your FULL NAME on the Bank Transfer Form - for personal payment identification.

CHEQUE or MONEY ORDER
Payable to: U3A Hobart
Post to: Membership Secretary, P.O.Box 5007, LPO UTAS, Sandy Bay, 7005 (NO CASH)


I/We apply to join or re-join U3A Hobart Inc., and
I/We accept that the information provided above may be used by U3A Hobart Inc. for U3A purposes only.


Essential Information
1. First, please CHECK that all the required* information has been provided above.
2. Then click the SUBMIT button below.
3. You will receive a confirmation EMAIL.
(If you do not receive an email your form was not sent.)