Page 1. 			u3a
Hailsham and District u3a
Please read the following carefully before completing the form on page 2: 
GIFT AID:
Boost your donation (enrolment fee) by 25p of Gift Aid for every £1 you donate. Gift Aid is reclaimed by Hailsham and District u3a from the tax you pay for the current year. Your address is needed to identify you as a current UK taxpayer. To Gift Aid your donation you must tick the box on sheet 2.

If you pay income tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment Tax Return or ask HM Revenue and Customs to adjust your tax code. 
Please notify us if you:
1. Want to cancel this declaration.
2. Change your name or home address or any other relevant details.
3. No longer pay sufficient tax on your income and/or capital gains.
DATA PROTECTION: Your membership details will be held on a national database and used for u3a purposes only. These purposes include sharing with Third Age Trust in order that you may receive the national publications 'Third Age Matters' and 'Source'. Please inform the Membership Secretary if you do not wish to receive the above publications. We shall also need to send details to HMRC when applying for Gift Aid if you indicate on sheet 2 that you wish to do this. We will not share your details with anyone else without your permission.
PUBLICITY: Along with most other organisations we need to attract new members to ensure growth. Publicity for this may be in oral, visual or printed form, using all kinds of media. To ensure your wishes are complied with, we ask you to ensure you select the option on Sheet 2 to indicate whether you give permission for photos etc of you, to to be used for this purpose. If you do not wish to be included in publicity, please make your Group Leader aware and move away from the Group when photos are taken. Copies of our Data Protection and Privacy policies are available on the website or can be obtained from the Membership Secretary. 

Page  2											B
MEMBERSHIP FORM                                  
1^st April 2024 – 31^st March 2025  
 
Full Name (including title) .……..……………….........................................…………………………..(please print)  
 
 Address:…………………………………………….…………………………………………………………………………………………………………………..…
 
……………………………………………………………………………………………………………………..Post Code: ……………………....……………....    
 
 Telephone: ……………………………...……….                          Email...............………………………….............................. 
 
Contact in case of emergency:    Name…………………………………Contact No:....................

 Please read carefully the information on Sheet 1 before signing below.
I apply for/wish to renew my membership.
I do/do not agree to being included in publicity                                                                             
I wish to donate through Gift Aid      Y/N
 
Signed…………………………………………………………………………………. 
 
Annual Subscription:    £18.00 Please hand this form and a cheque/cash to the Membership Secretary or send with a cheque by post with a stamped addressed envelope enclosed to :-  Membership Secretary, Hailsham & District u3a,12 Cacklebury Close, Hailsham, BN27 3LF (Please make your cheque payable to Hailsham & District u3a) 
 
 Email enquiries:        u3amembershailsham@gmail.com                                                                                      
 
Amount received      £ . . . . . . . . . .    cash/cheque/bank trans.    Date ………………………………...