U3A Meadowbank - Membership Application

(Page 2 of 2 pages)

On this page you will find the enrollment form for recording your information needed for subscribing to U3A Meadowbank.

Some details are required and these are indicated by a red asterisk ( * ) after the input box label.

Once you have completed the form, please click on the Submit button at the bottom left hand corner of the page

  • If you have clicked on the button and nothing has happened after 10 seconds, please go back up this page to see what error messages are showing.

 

Name
Include Apartment and Street Number
Please enter your phone number.
The annual subscription of $40 is to be paid to the U3A Meadowbank Inc. Bank account: Kiwibank 38 9014 0359752 00. Please enter your name as reference. Please note this information for your payment before proceeding.