2018 2018

(“the Association”)
NEW MEMBER JOINING FORM

Name................................................................................................................... [In Block Capitals]

Address................................................................................................................................
…………………………………………………………………………..............................
Telephone Numbers: Where did you first hear of the Association?
Home.......................................................... ….....................................................................
Mobile......................................................... ….....................................................................

Email Address.........................................................………..(compulsory, yours or an alternative

one which can be used for communication purposes). Please write legibly.

Hobbies and Interests.............................................................................................................

And any skills or knowledge that you may like to share with the Association?:-
…............................................................................................…………………..................
1. I hereby apply for membership of the Association (which is based on similar principles to that of
the University of the Third Age in Great Britain).

2. I accept and agree that the Association cannot (nor any of it's officers, group leaders or
individual members of the Association) be held liable for any loss or damage, personal or otherwise,
from whatever cause arising from my membership and/or lawful activities of the Association.

3. I hereby agree to abide by the Association's Constitution dated 28th May 2011 (which can be
viewed on the Association's web site:- u3aaxarquia.com) and to inform you immediately of any
changes in my address, phones numbers or email address.

4. I agree to pay a Membership Fee of €6 for the current membership year (1st January to 31st
December); However, if joining after August I will pay €3 for the rest of the current year.
5. I live in Spain for [ ] months of the year.

Signed........................................................... Dated ……..…................................................ 20

Name of person accepting payment on behalf of the Association, in the sum of [ €]

....................................................................................................................... [For office use only]

-----------------------------------------------------------------------------------------------------------------------

Received with thanks from a New Member, for membership of the Association, the sum of ….....€
as an annual (or part annual) membership fee for 2018

Signed...................................................….... Dated ……..……………............. …............... 20