West Oxford
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                                             THE UNIVERSITY OF THE THIRD AGE


                                 2017-2018 ANNUAL MEMBERSHIP APPLICATION


To join/renew please complete the application form and return it to Mrs. Liz Jones, 68 Montagu
Road, Botley, Oxford OX2 9AQ,
together with your cheque, made payable to West Oxford U3A,
for 15 per member and A STAMPED, ADDRESSED ENVELOPE, minimum 6”x 4 for the
return of your membership card.
Alternatively, you may make a BACS transfer of the same sum to us at Sort Code: 30-19-83,
Account No. 00101463, quoting your initials & surname in the Reference
.

Please complete the application in block capitals. 

Title …………            First Name................................. Surname..........................................

Spouse/Partner (if also joining) ...........................................................................................

Address ..............................................................................................................................

............................................................................................................................................

Post Code ..........................................................................................................................

Telephone number...............................................................................................................

E-mail address  ...................................................................................................................

Which special interest groups would you consider joining?..................................................

I understand that when I undertake any of the activities associated with U3A I do so at my own risk.                                                                            

gift aid image                     

      The support we receive from HMRC’s
      Gift Aid scheme is important to the
      finances of our U3A.  If possible, please
      tick the following declaration.


In order to Gift Aid your donation you must tick the box below:

 


I want to Gift Aid my donation and any donations I make in the future
or have made in the past 4 years to West Oxford U3A.

I am a UK taxpayer and understand that if I pay less Income Tax and/or
Capital Gains Tax than the amount of Gift Aid claimed on all my
donations in that tax year it is my responsibility to pay any difference.

                         West Oxford U3A is a Registered Charity,  Number 1108125