Membership Renewal – U3A Javea

5€ for 2023

We want every member to fill out their own form because the information given will go directly into a new database. Any member not completing this form will be missed off the new list.

Renew Membership U3A Javea

First Name (only one person’s name per form) *required

Last Name (only one person’s name per form) *required

Confirm Email

Phone Number

Landline phone number if any (optional)

Membership Number (if known)

I will pay by (select a method below, bank transfer, card payment online or at the January Meeting or someone else is paying)

The name of the person paying my fee is

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