Online Membership Application

First name
Last name
Phone
Mobile
Email
Address line 1
Address line 2
Suburb/locality/town
Postcode
I am over 50 years of age.
Please note:
1. Bathurst U3A is committed to taking appropriate measures to ensure that all membership information is protected from disclosure, unauthorised access, misuse or alteration. The Bathurst U3A privacy statement can be viewed online at bathurstu3a.com.
2. You may assume that your application for membership is successful. If there are difficulties, you will be contacted by a member of the committee.
3. An email will be forwarded to you, as receipt for this membership application.
4. The 2022 annual membership fee is $40.00. This includes emailed newsletters. Printed copies will be available at various Bathurst locations prior to the start of each term. If you wish to have a printed copy mailed to your address above an additional payment of $10 p.a. is required. The membership fee is for the calendar year, irrespective of when you pay your membership Fee.

The membership fee has been paid by:
leaving a cash or non-negotiable cheque in an envelope at the Neighbourhood Centre, 96 Russell St, Bathurst, orposting a cheque to The President, Bathurst U3A, PO Box 1332, Bathurst, 2795, ordirect credit to the Reliance Bank, Bathurst
The Reliance Bank details are:
BSB: 882-000
Account number: 300003108
Named: Bathurst U3A Inc.
Reference: your name.

I wish to receive my quarterly newsletters by
emailpostno newsletter
If electing to receive newsletters by post I am paying an additional $10 p.a.

Emergency Contact:

Name
Phone
Relationship

I agree to comply with the members’ code of conduct, the Bathurst U3A Constitution and other policies published on the U3A website.

Note that you cannot 'send' unless you agree to the constitution and you are at least 50 years of age. You may be asked to verify that you are not a robot.

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