New-Member-Application-Form-for-2026-2027

Name

First NameSurname

Title

Mr, Mrs, Ms, Miss, Dr, etc

Address

Street Address

Street Address Line 2 (optional)

Town/CityCounty

Post Code

Telephone Number

Enter a valid telephone number

Email address

Emergency Contact

Name of emergency contact Telephone number

Emergency Contact (continued)

Relationship of emergency contact

Membership Fees

£18.00 for year 1st September 2026 to 31st August 2027.
£12.00 if membership is taken out after 1st April 2027.
£12.00 for year 1st September 2026 to 31st August 2027 if your home u3a is not Havant u3a.

Enter your home u3a details in the next two boxes (proof of this membership will be required):

Home u3a

Name of home u3a and membership numberExpiry date

Please see the section regarding Gift Aid on the next page.

Please enrol me as a member of Havant uЗа for 2026/27. I confirm that I will abide by the Member Code of Conduct as stated below and agree to abide by the guiding principles of the uЗа movement. These are to be found on our website at https://havant.u3asite.uk, see 'Important Information' on the Membership Page, and can be consulted at any Monthly Meeting. I confirm that I have completed the form myself.

Confirmed

Please type your name

Dated

DayMonthYear

Once your completed form has been submitted, (by clicking the Submit button at the end of this form), and only after it has been submitted, please pay your membership fee. See below for methods of payment.

Membership Cards will be issued at the Monthly Meetings or, to receive the card by post, please send a stamped address envelope to The Membership Secretary, 8 Sutton Close, Cowplain, Waterlooville, PO8 8QQ.

Please read the Member Code of Conduct and Privacy Statement below.

'u3a Matters,' the Third Age Trust Magazine is included in your subscription. Your name and address will be supplied to the company who oversees the distribution of the Third Age Trust Magazines.

Make your choice by clicking on one of the following boxes:

Note: The magazine can be read online at https://www.u3a.org.uk/what-we-do/u3a-matters/screen-reader-editions

Methods of Payment for Membership Fees:

Bank Transfer to Havant U3A, Sort Code 20-69-34, Account 90481882

In person at a Monthly Meeting by Cash, Credit Card or Cheque

Cheques by mail to The Treasurer, 19 Flint Avenue, Havant, Hampshire PO9 3FU

Gift Aid Declaration

If you pay income tax and would like to take part in the Gift Aid Scheme Havant uЗа, Registered Charity 1188205, can reclaim Gift Aid of 25p from every £1.00 you pay in the current Tax Year (at no cost to yourself). Should you join the scheme and pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all your subscriptions and donations in that Tax Year then it is your responsibility to pay any difference. If your tax situation changes you are required to notify the Havant u3a Treasurer. Your address is used to identify you as a current UK taxpayer.

Please click the 'Yes' box below if you would like to take part in the Gift Aid Scheme.

Please click the 'No' box below if you would not like to take part in the Gift Aid Scheme.

To confirm enter your name in this box and date in the 'Dated' box. Confirmed

Please type your name

Dated

DayMonthYear

Member Code of Conduct

Refer to our website at https://havant.u3asite.uk, see 'Important Information' on the Membership Page

Abide by the Principles of the uЗа movement.

Always act in the best interests of Havant uЗа and never do anything to bring the uЗа into disrepute.

Abide by the terms and conditions of the constitution.

Treat fellow members with respect and courtesy at all times.

Comply with and support the decisions of the elected committee.

Advise the committee of any change in your personal details.

All communications will be via the email address provided.

Please note that personal information will be stored on a secure system called "Beacon".

Unless advised otherwise, photographs taken at Havant uЗа events which include your image, may be used on the Havant uЗа website and other publicity materials.

I confirm that I have read and understood the Member Code of Contact (above)

Type name

Privacy Statement

Havant uЗа requires members to provide personal information so that you can be kept informed about events and activities that are offered as part of your membership. In collecting your information Havant uЗа will abide by the UK General Data Protection Regulation (UK GDPR) and will:

Store it securely in accordance with the UK GDPR.

Use it to communicate with you as a uЗа member.

Share your information with group leaders/conveners for those groups that you are a member of.

Ensure your personal data will never be supplied to any outside agency other than the Third Age Trust.

Send you general information about the Third Age Trust.

Any communications or enquiries can be made via this email address: enquiries.havantu3a@gmail.com

Havant uЗа New Member Application Form