Membership Renewal Form - North London U3A

First name *

Surname *

M'ship numberAs printed on your invitation to renew

Emergency contact (name and phone number)

Paying for one current member or a couple *One memberTwo members£40 per member

Partner's first name *

Partner's surname *

M'ship numberAs printed on their invitation to renew

Emergency contact (name and phone number)

Are you a full member of another u3a? *YesNoFor full members of another u3a, discount £5.50 for full year

Receive printed copies of TNL? *YesNoGet a print copy of “The Northern Line” magazine every term for £6 per year.

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

Other u3a m'ship number *

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

We are issuing membership cards by email for 2025. Would you prefer a printed card? *YesNo

Current NLU3A Interest Group membershipList those you are a member of, separated by commas.

Interest in other groupsList those you’d like to join or rejoin.

Additional donation (optional) *

GBP

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

Total amount due

Payment method (Online banking preferred please) *Online banking: Pay to Sort code: 60-06-26 Account number: 87691469 Account name: North London University of the Third Age. When prompted please put your FULL NAME as a reference. If this is not done your payment cannot 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.By cheque: Cheque payable to: North London U3A and sent to Membership Secretary at Flat 7 Collingridge House 5 Old Park Road Enfield Chase EN2 7BE.

Any changes?PLEASE NOTE The Membership Secretary will assume your email(s), postal address and Gift Aid status all remain unchanged. However if there have been changes in your contact details or your tax status since last year please let us know in this box.