Membership Application Form for Bearsden and Milngavie U3a

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MEMBERSHIP APPLICATION FORM FOR BEARSDEN AND MILNGAVIE U3A PERSONAL DETAILS (PLEASE PRINT) Title: First Name: Last Name: First Name as you wish it to appear on your membership card: Email: Telephone Landline: Mobile: Address: Postcode: MEMBERSHIP FEES The membership year of Bearsden and Milngavie U3A runs from 1st April to 31st March Single annual membership is £10 (and £8 for each additional person living at the same address). This includes a Capitation Fee to our national organisation, The Third Age Trust, which provides a wide range of services and benefits, including liability insurance cover. It also includes the costs of delivery of the Third Age Matters magazines. Cheques should be made payable to U3A Bearsden and Milngavie. If you belong to another U3A please contact the membership secretary about the fee payable. TERMS AND CONDITIONS OF MEMBERSHIP – All members must: 1. Abide by the Aims and Guiding Principles of the U3A movement. 2. Always act in the best interests of the U3A and never so anything to bring the U3A into disrepute. 3. Abide by the terms and conditions of the constitution. 4. Treat fellow members with respect and courtesy at all times. 5. Comply with and support the decisions of the elected committee. 6. Advise the committee of any changes in your personal details. PRIVACY STATEMENT Your personal details will be stored in a secure database and will be used solely for the purposes of administration and the communication of U3A matters. They may be shared with group coordinators for those groups that you are a member of. They will never be supplied to an outside agency or party other than for you to receive Third Age Matters magazines directly mailed. Bearsden and Milngavie U3A may use photographs taken at meetings and events for publicity purposes and/or on our websites. Such photos will not be captioned with names unless prior permission has been sought. Please be advised that you can withdraw consent at any time for your data to be used for any of the above purposes by contacting the Membership Secretary in writing at the address below. I apply for membership of Bearsden and Milngavie U3A and confirm that: [ ] I will comply with the Terms and Conditions of membership as stated above. [ ] I consent to my data being used in accordance with the Privacy Statement. [ ] I have completed the form myself. Signed: Date: If you are unable to return this form and fee at a monthly meeting please send to: Membership Secretary: - P. Davidson, 9 Auldmurroch Drive, Milngavie, Glasgow, G62 7SB .

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