Poole U3A

Membership Application & Renewal Form

Please complete the following form, including the Gift Aid Declaration, and then click on the red Send button.

Then pay your subscription to Poole U3A’s bank account (Account name: Poole U3A Members, sort code: 40-15-27, account no: 31441698) quoting the reference code (see below) within 2 working days.

Subscriptions for the year 1 September 2019 – 31 August 2020:

NB: Please refer to the refund policy in Delphinus or here

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Section A - Registration
I wish to join / re-register with Poole U3A and my subscription is:
£ (required)
Please quote the following reference code when making your payment:
You may want to jot down this code now.
Are you already a Poole U3A member? (required)

Title: (required)
Initials: (required)
First name (or name by which you wish to be known): (required)
Surname: (required)
Address 1: (required)
Address 2:
Town: (required)
Postcode: (required)
Phone number:
Email address: (required)
Are you a Class leader, Committee member, or Class advisor? If so, please give details:
Please notify the Poole U3A Office if you change your name, address, phone number or email address

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Section B - Gift Aid Declaration Form
Please complete the Gift Aid Declaration form below. If you pay Income Tax you can help Poole U3A to claim Gift Aid on your U3A subscription. It costs you nothing but, for every pound you pay, we can reclaim an extra 25p from HM Revenue and Customs. So, for your £57 annual subscription we will have an extra £14.25 of vital funding. All you have to do is complete and sign the appropriate Gift Aid Declaration below. You can cancel your declaration at any time.

Gift Aid Declaration: I confirm that I pay UK Income Tax and would like Poole U3A to treat my membership subscription and all subscriptions I have made since April 2008, until I notify Poole U3A otherwise, as Gift Aid donations. I confirm that I have paid sufficient tax to cover the amount that Poole U3A will claim back. (required)
Today's date: (required)
You must pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax that Poole U3A reclaims on your subscription in the current tax year (25p for each £1 you pay).
If, in the future, your circumstances change and you no longer pay tax on your income (and/or capital gains tax) equal to the tax that Poole U3A reclaims, you should cancel your declaration.

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Section C - Privacy Statement
Your membership of Poole U3A allows us to maintain a computer database of the personal information you have supplied on this form and the details of the classes you have chosen to attend. The database is used for producing mailing labels, class lists, the programme and accurate statistics.

Only the Poole U3A office and some members of Poole U3A Committee will use the database.

The information held by us will only be shared with:

(i) Poole U3A’s electronic-mailing company to facilitate email communication to you.
(ii) The Third Age Trust (TAT), the national office to which all U3As are affiliated, which uses an external company to send you their publications ‘Third Age Matters’ and ‘Sources’
(iii) HMRC in the course of mandatory financial management (e.g. Gift Aid).

You can update your data at any time or request that your data should not be used for either electronic-mailing or the direct mailing of TAT magazines by contacting Poole U3A Office on 01202 678113 or email pooleu3a@gmail.com.

I consent to Poole U3A securely recording my personal details given on this form for the purposes described above (required)
Do you wish to receive copies of our Monthly Newsletter (email only)? (required)
How do you wish to receive copies of 'Delphinus' (Poole U3A magazine)? (required)
Do you wish to receive copies of 'Third Age Matters' (National U3A magazine)? (required)

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Section D - Classes
Please indicate the number(s) of the class you wish to attend. These are indicated next to the classes listed in Delphinus and on the Poole U3A website. You have up to 3 choices. NB: Our walks and talks are not included in this section so you can go to these at any time extra to classes.

1a. Class Number:
1b. Your alternative (of the same subject) if the above class is full (No.):

2a. Class Number:
2b. Your alternative (of the same subject) if the above class is full (No.):

3a. Class Number:
3b. Your alternative (of the same subject) if the above class is full (No.):

Reserve Class:

Would you be interested in leading a class? If so, on what subject?

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Finally
Any comments you want to add before sending?

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When complete, please click on the Send button >>> (a message should appear at the bottom of this page stating that the form has been successfully sent and you should also shortly receive a confirmatory email)

Then please pay your subscription to Poole U3A’s bank account (Account name: Poole U3A Members, sort code: 40-15-27, account no: 31441698) quoting the reference code above within 2 working days. Please note - each member must complete a separate application form, but two subscriptions may be paid in a single payment by quoting both reference codes, e.g. ABCD & EFGH.

After your payment has been received, you will be sent an email with your new Membership number.

Thank you for completing this form and joining / rejoining Poole U3A.



Poole U3A – Refund Policy from August 2019

In the event that there are no places available at any of the chosen classes, the applicant will be contacted and asked whether you wish your application to go ahead on the basis that –
(i) you would be able to attend non-class activities such as walks, talks and visits;
(ii) you would be placed on the waiting lists for vacancies at the 3 classes that you have chosen originally, as well as for all other class vacancies. Details of these vacancies will be notified to applicants on a first come basis, as soon as possible after week 4 of each new term.
We will do all we can to satisfy each applicant’s requirements, but failing that you may as a last resort opt to receive a full refund of your subscription.

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