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.
ASSOCIATE MEMBERSHIP APPLICATION AND RENEWAL FORM
Associate Members of U3A Tamborine Mountain Inc.
should be in active retirement or
preparing for retirement.
Yearly Associate Subscription. Valid from 1st January
to 31st December annually.
Given Name…………………………………………..
Surname ………………………………………………
Address…………………………………………………….
…………………………………… Post Code…………….
Home Tel……………………….. Mobile……………………
Email……………………………………………………………..
Parent U3A group ………………………………………………………..
N.B. Proof of current U3A membership is required e.g. photocopy of or original U3A receipt or contact number of parent U3A group to enable confirmation.
I am interested in learning about……………………………………….
Please circle Associate Member Renewal or New Associate Member Application
Annual Associate Membership Fee Single $10 Couple $20
Half Yearly Fee applies ONLY for applications or renewals after 1st July.
Half Yearly Associate Membership Fee Single $5 Couple $10
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 Mountain Inc. has Public Liability Insurance to age 80 – max $10 million.