Join Form - North London U3A

Title

First Name *

Surname *

Address (line 1) *

Address (line 2)

Town *

Postcode *

Telephone

Email Address *

Year of Birth *

Emergency contact (name and phone number)

Are you a full member of another u3a? *YesNoFor full members of another u3a, discount £8.00 (Full year only)

We are issuing membership cards by email for 2026. Would you prefer a printed card? *YesNo

Name of other u3a *to which you have paid full membership

Other u3a m'ship number *

Receive print (rather than digital) copies of NLU3A’s magazine? *YesNoGet a print copy of “The Northern Line” magazine every term for £6 per year.

NLU3A exists because of members who volunteer to run interest groups and help with various other essential tasks. Would you consider helping in some way, either now or later? *YesNo

Interest groups that you are considering joining

Your skills and interests

Joining for a full year? *Full yearPart yearPart year applies only between 1 July and 31 October. The annual subscription for members joining in November or December is valid until the end of December the following year.

Additional donation (optional)

GBP

If you wish to make an additional donation please enter the amount above

Total amount due

Gift Aid: Your subscription can make each £1 of your subscription worth 25p more and at no cost to yourself. To qualify for Gift Aid you must pay income tax or capital gains tax at least equal to the amount that North London U3A reclaims on your donations in the tax year. *I am a UK tax payer and wish to Gift Aid this and all future donations that I make to North London U3A, unless I notify you otherwise. I 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.Please do not claim Gift Aid on this subscription

Payment Method *By card online (preferred)Bank TransferCheque

Payment by card *

Enter your card details in the boxes that appear here. The card details will be used for this transaction only and not saved.

Bank transfer to:

Account name: North London University of the Third Age
Sort Code: 60-06-26 Acc.No: 87691469

When prompted please put your FULL NAME as a reference. If this is not done your payment will not be recorded!
NOTE: Your bank will check that you are really paying the business account: North London University of the Third Age. We have found that “North London U3A” will be accepted, but what is accepted by your bank may be different.

Cheque payable to:

North London U3A and sent to Membership Secretary at Flat 7 Collingridge House 5 Old Park Road Enfield Chase EN2 7BE.

How did you hear about NLU3A?Personal recommendation/word of mouthInternet searchLocal publicity, e.g. open day, press article or similar (please specify below)Other source (please specify below)