U3A
RENEWAL FORM 2008
Surname (Please Print) ...
Full First Names .
First name by which you are known
.
(will be printed
on your card)
Postal Address
Code .
Email: ..
Tel .. . Fax .. . Cell ..... ..
This enables you to attend all branch monthly meetings
and to participate in any or all courses at either/or both branches.
Please return this completed form
with your payment.
Payment Options:
1.
Post cheque with this form
to U3A,
2.
Direct deposits or electronic
payments to U3A FIRST NATIONAL BANK, ROSEBANK BRANCH CODE 253305, ACC 62036135706
and fax - (011)
883-1494 - or post to
VERY IMPORTANT: Please ensure that your surname and initials are readable on your deposit/transfer slip. Often, the copy that comes from the bank is illegible and we are then unable to enter your name on the database and you will not receive any correspondence.
3.
Hand in payment together with
this form at the next monthly meeting.
** Payments sent to us by post are
at risk of interception.