Pocklington & District U3A

Membership Request

Mr/Mrs/Miss …………………………………………………………….

Surname       ……………………………………………………………...

Address       ………………………………………………………………

                    ………………………………………………………………

Postcode     …………………………

Telephone  ………………………….

Email Address …………………………………………………………...

Interest/Hobbies/Expertise ………………………………………………

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Subscription £ 10 (£5 from Oct)  Year Ends 31^st March.

This information will be kept on computer disc and will not be available to anyone outside the Pocklington & District U3A.  Should any member object to any or all of this information being so kept, it will be removed at their written request.

Please return to:

                               The Membership Secretary

                               11 Strother Close

                               Pocklington

                               York    YO42 2GR