Membership Renewal Form Your name (required) Any changes to your address, contact number, email please list below Changes (optional) None Membership Subscription Arnoldu3a member Full-£15,Partial year- March £9, August- £6 Associate member Full-£11,Partial year- March £5, August- £2 Individual*Associate If a member of another u3a and paying full fee to them, then please enter the name of the u3a and your membership number Ways to Pay CashChequePaypalBank Transfer If paying by cheque please send it to John Gardner, Membership Secretary, 9 Dalbeattie Close, Arnold, NG5 8QX Bank Transfer Information:- Arnold Univ of Third Age fee acct 08-92-99 Acc.no. 67223118 I consent to my data being used for Arnold U3a membership purposes - YN I wish to receive the free Third Age Trust magazine - YN Charity Gift Aid Declaration If you pay income or capital gains tax we can claim Gift Aid back from the Government so we would appreciate it if you would complete the below statement. I would like Arnold u3a to reclaim the tax on any donations or membership subscriptions I make to them. I confirm that I am a UK taxpayer and pay tax at least equal to the tax to be reclaimed. —Please choose an option—yesno Δ