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Purbeck Group
Registered Charity No 1075342
S&T Enrolment Form


Purbeck U3A Science and Technology Group

Registration Information

Please PRINT clearly

Please register me as a member of the Purbeck U3A Science and Technology Group


Forename__________________________

Surname___________________________     Title_______

U3A Membership number (for current year) _______

Telephone number (including STD Code)________________________

E-mail address_____________________________________

Postal address _______________________________________________________

Post code_______________

I understand that registration information may be made available for use by the committee of the Purbeck U3A and by members of the Science and Technology Group but will not be passed to other third parties.

Signature__________________________________________ Date_______________


Communications to members will be by e-mail only but if you cannot receive these, important messages can be posted to you if you provide some stamped and addressed envelopes for the group leader. Otherwise, please feel free to pick up circulars at meetings. An effort will be made to include updates in the Newsletter and on the U3A website.

Click HERE for printable PDF version
and bring it to your next S&T meeting