Member Registration Form
The Membership fee is R200 per person. Membership runs from 1 January to 31 December.
Fields marked with an asterisk must be completed. One member, one form please.
Alternatively, please download the form and email the completed form, together with proof of payment, to u3aplett@gmail.com
Or: hand in the completed form, together with your payment, to our treasurer at our next meeting.
Name: The University of the Third Age
Bank: Standard Bank
Branch: No code required
Account no: 18 685 198 7
Please use your surname as reference