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U3A Tawa Inc

"University" of the Third Age            welcome4.gif (5970 bytes)


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Today:      

Membership


 

U3A Tawa
is very
appreciative
of the support
received from
our sponsors:

 

 

 

 

 

 

 

 

 

 


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Membership Renewal/Application/Change Details


Welcome to U3A Tawa, whether you are a new member or renewing your membership.

An alternative to the online entry below is to print the pdf membership form
(which includes course selection) Click here>,
complete and post to the address on the form

..THIS FORM IS UNDER REPAIR>  PLEASE USE THE ALTERNATIVE FORM
...............................................................................

The application is not valid until you have paid the subscription of $15(single); $25(couple) which can be paid
(1) by cheque to P O Box 56069 Tawa Wellington 5249 or (2) preferably credited to our account: 02 0552 0198393 00.
Please enter the code "Subs" in the details field and enter your surname + your first two initials in the reference field.
 

   Please complete all fields.  For change of details select Subscription/Option type.

Use---> Tab for next field

Warning :  This on-line system is not functioning correctly. Please post your form to us.

First Name:
Last Name:
Street Address:
Suburb:
City:
Post Code:
E mail address:
Phone:
Cell Phone:
Subscription Year:
Badge Number:
Subscription /Option (Renew/New/Change/Courses):
Payment Method:
Courses Selected - show number and title:
Comment:

THIS FORM IS UNDER REPAIR>  PLEASE USE THE ALTERNATIVE FORM
Please phone 027 437 9215 to check  that t
his application form has been received.
                   
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page updated: 30-Apr-17