Enquiry about Membership

If you wish to join the Ems Valley U3A please complete this form.
When submitted, this form will be emailed to our Membership Secretary
who will endeavour to acknowledge your application by email with in a few days.


I would like to join the Ems Valley U3A

Title
Required field

If you are a couple at the same address, and would both like to join,
please enter the second person here
Title


Address Line 1
Line 2
Line 3
Postcode Required field
Telephone
and/or Mobile
Email Required field
Your privacy is important to us. We will only use this information to contact you regarding the Ems Valley U3A. We will not pass on your information to anyone else outside the Ems Valley U3A.
How did you hear about Ems Valley U3A? 
 
If Other please specify 
Any comments or other information?
If you would like a copy of this completed form click print before you submit it