West Oxford
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                               Membership Application 2018 - 2019         

Member 1
Name
Email**                                                                  Telephone
Address
 

Member 2 – if applicable
Name
Email**                                                                  Telephone
Address
 
**To reduce costs, the committee will communicate with you via email where possible.

 
The membership fee is 15 per person and can be paid in cash, by cheque in favour of West Oxford U3A or by BACS transfer to Sort Code 30-19-83 Account number 0010146 quoting your initials and surname as reference. If by post, please send cash or cheque to Liz Jones at 34 Binsey Lane OX2 0EX. If you would like to receive your Membership Card by post then please supply a stamped and addressed envelope (6” by 41/2”)

 
I/We apply for membership of West Oxford U3A

 Signed …………………………………………………………………………….   Date …………………

 Signed …………………………………………………………………………….   Date …………………

 Data Privacy and Protection

Your personal data will be stored and processed in accordance with the U3A’s Data Protection Policy, a copy of which may be accessed on our web site or on request to the Membership Secret-ary. Your data will be used solely for the administration of the U3A and its events and activities. It will be shared with others only with your consent or when required by law or regulation.

                                                                          

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 of _____ 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.

Signed ………………………………………………………………  Date ...........................................

 Signed ………………………………………………………………  Date ………………………………