HALESWORTH & DISTRICT u3a MEMBERSHIP RENEWAL FORM This form can be used by a single person or two people living at the same postal address AND if you intend to pay via Bank Transfer (BACS) ONLY. The membership is valid from 1st September until 31st August the following year. PLEASE DO NOT RENEW BEFORE 1ST SEPTEMBER. Please complete all relevant fields of the form. Fields shown with an asterisk are required fields which must be completed. Only persons seeking to renew existing membership should use this form. New members wishing to join Halesworth u3a should use the New Member Form. MEMBER DETAILS * MEMBER 1 DETAILS Full Name 1 * Member 1 - Halesworth Membership No Full Address * Email Address 1 * Home telephone (if changed recently) Mobile telephone 1 (if changed recently) MEMBER 2 DETAILS Full Name 2 Member 2 - Halesworth u3a Membership No Email Address 2 Mobile telephone 2 (if changed recently). Please note that the data supplied by you on this form will continue to be used as described in the u3a Privacy Policy and will be stored securely on the u3a BEACON membership database. MEMBERSHIP FEES * Please select the appropriate boxes below. The amounts below include a £3.50 fee per person to the Third Age Trust. ## Fee reduced by £3.50 per person if you are a current member of another u3a. If one new member is a member of another u3a and the other is not then separate applications for each new member are required. If you wish to receive 5 issues of the printed "Third Age Matters" magazine (one per household), please check the Magazine box below and add £4 to your membership fee. Member 1 - Other u3a Membership Details Member 2 - Other u3a Membership Details One member £15 annually * Two members at the same address £30 annually * ## One member £11.50 annually * ## Two members £23 annually * Magazine Yes I/we wish to receive the magazine. Please add £4.00 to your membership payment. Please pay the annual membership fee using Bank Transfer (BACS) to Halesworth & District u3a, Sort code 30-13-64, Account number 00680986. Please add your u3a membership number as the Payment Reference or your initials and last name if you do not know your membership number. GIFT AID If you have not previously opted for Gift Aid and would now like to do so, please contact the Membership Secretary on U3AHALESWORTHMEM@GMAIL.COM If you have previously opted for Gift Aid and now need to make changes, please check the box(es) below as applicable: Wish to cancel your declaration. Wish to change your name or home address. VOLUNTEERING * Yes I/we are willing to volunteer since the u3a is a mutual help organisation and operates through the contributions of volunteers. By pressing the Submit button below I/we agree to pay the relevant membership fee by Bank Transfer (BACS). Submit