U3A TAMBORINE MOUNTAIN INC.
Please print this form, complete the details and post to U3A Tamborine Mountain Inc.
P.O. Box 403, North Tamborine Qld. 4272.
with your cheque. money order or confirmation of payment by direct deposit
MEMBERSHIP APPLICATION AND RENEWAL FORM.
Members of U3A Tamborine Mountain Inc.
should be in active retirement or preparing
for retirement.
Yearly Subscription. From 1st January to 31st December.
Applications lodged after 1st July please See note below
Given Name ……………….................................…
Surname ………………........................................……
Address………………………………........…………………………….
…………………..............……………….. Post Code…………….
Home Tel…………..........… Email…….................……………………………
Mobile………………...........…….
Nominated by ............…………name.......……… ...........
Seconded by ……......…………name.... ………........ The names of nominator and seconder are required only for New member applications. They are not necessary for membership renewal
I am interested in learning about………………………………………
I would consider tutoring in…………………………………………….
Please Circle Renewal or New Member
Annual Fee Single $25 Couple $40
Half Yearly Fee applies ONLY for applications or renewals after 1st July.
Half Yearly
Fee Single $12.50 Couple $20
Signed…………………………………… Date:……………………….
Payment: By cheque or money order to : U3A Tamborine Mountain Inc.
P.O. Box 403, North Tamborine Qld. 4272.
Or Direct Debit to : Heritage Building Society, Nerang Branch
Account Name: U3A Tamborine Mountain Inc.
BSB : 638070 Account No. 11130598
U3A Tamborine Mtn. Inc. holds $10 million Public Liability Insurance. Please note that Insurance is only to age 80.