Browns Bay U3A Inc
Membership Manager
PO Box 35 851
Browns Bay, Auckland 0630
The annual subscription is payable AFTER the application is accepted.
Do not send money at this stage.
Applicant __________________________________
Address: ___________________________________
Area code: ____________
Phone: ___________________
Email: __________________________________________
Where did you find out about U3A? ______________________________
Name (1) Which Special Interest Groups do you intend joining?
___________________________________________________
Name (2) Which Special Interest Groups do you intend joining?
______________ _______________ ___________ ___________
Do you have any particular skills or interests you would be willing to share with others?
____________________________________________________
Annual subscriptions: Single $30 ( Plus an initial joining fee of $5 ) _________
Sign Here:______________________________ Date ____________
