U3A
CAPE TOWN
APPLICATION
FORM
Name
..................................................................................................................................................
Postal Address
.....................................................................................................................................
...........................................................................................................................................................
.........................................................................................................
Post Code ..................................
Telephone
....................................................... Cell
..........................................................................
E-mail
...............................................................................................................................................
I acknowledge that my participation in any U3A activity is entirely at
my own risk. I will not hold U3A liable for any loss or damage to
myself or my property.
Signed
......................................................................
Date ............../.........................../
20............
Annual membership fee
of R30 allows virtually free access to courses and meetings of any U3A.
Please complete this form
and
a) Hand it in with your fee at a U3A
General Meeting OR
b) Post
it with a cheque made out to
U3A to:
U3A, PO Box 2135, 7740 Clareinch.
Membership cards
may be obtained at a U3A General Meeting or by sending a stamped,
self-addressed envelope to PO Box 2135, 7740 Clareinch.
In order for our organisation to grow further, we depend on a steady
supply of willing and able course leaders / co-ordinators. Would you
offer to share your expertise with a group, or ask a friend
to do so?
Comments:
.....................................................................................................................................
........................................................................................................................................................
For Treasurer’s use:
Membership fees paid
: R...................................
Date .............................
Voluntary donation:
R...................................
Receipt Number
................................................. Membership
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