U3A Helderberg

Membership Application/Renewal 2008

(Husband/Wife members are requested to use the same form. However both are required to sign the Indemnity below)

PERSONAL DETAILS
Title: Prof / Dr / Mr / Mrs / Mr & Mrs / Miss / Ms Surname:......................................................................................
First Name(s): .................................... / .......................................  Name(s) known by:...................................
ID Number(s): ................................................................... / ...........................................................................
Postal Address: ................................................................................................................................................ ....................................................................................................................... Postal Code:.............................
Home Tel No: .................................................. E-Mail Address.........................................................................
MEMBERSHIP FEE R50 per member
Please √ method of payment and attach the relevant documentation where required.
  • Non-transferable cheque (Cheques to be made out to Helderberg University of the Third Age)
  • Direct Deposit (Please attach a copy of your deposit slip with your name in the block of the depositor)
  • Electronic payment (Please insert your name and initials as the Recipient’s Reference and attach proof of payment)
  • Cash (Least preferred method for security reasons)
 U3A Bank Details:

Nedbank Somerset West
Branch Code 105605
Savings Account No 2056030454
U3A NEWSLETTER
Published quarterly, the newsletter is available at the February, May, August and November General Meetings. To reduce costs, members are asked to please collect their copies at the newsletter table and to ensure that their names are ticked off on the membership list. Should you be unable to collect yours, please indicate how you would like to receive the newsletter:
  • Sent to you by post
  • You will download it from the U3A website
U3A COURSES AND ACTIVITIES
These are detailed on the Courses and Activities Programme available at the Course Co-ordinators' table at our monthly meetings. If you are interested in attending, please contact the relevant Course/Activity Leader. If you have any suggestions for additional courses or activities, please detail below

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If you have any skills or knowledge you could share with members of the U3A Helderberg, please detail below

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INDEMNITY
By signing this application form, I/we, the undersigned, hereby acknowledge that my/our participation and involvement in any respect whatsoever with the U3A activities is undertaken at my/our own risk and responsibility and that no liability for loss or damage of any nature whatsoever suffered by me/us shall attach to the course or group leader, or organisers, or assistants, regarding any occurrence or event in which I am/we are involved. I/we similarly absolve and indemnify the U3A leadership of the U3A Helderberg, its agents, its course or group leaders, and its committee, of all liability.


Signature(s) ............................................................................... / .................................................................................


Date:.................................................

Please hand in completed form, together with fee (or proof of payment thereof) at a General Meeting, or post it, together with a self-addressed, stamped envelope to the Membership Co-ordinators, Judy and Edgar Hutchings, 7 Sultan Street, Die Boord, Stellenbosch 7600. Tel. 021 886 6117
E-mail: 5rhutch@snowisp.com