Form Completed


Thank you for completing the membership application / renewal form.

Renewal Subscription: £13

New Members First Year: £15


If possible, please pay by bank transfer to:

Burnham on Crouch University of the Third Age
Sort Code 20-19-95
Account Number 40950181

Please make sure you put your Surname and Initial as reference to make sure your payment is properly recorded.
If paying for someone else, please include their name as well.

Alternatively, you can pay in cash or by cheque to:

Membership Secretary
Burnham on Crouch u3a
52 Crouch Road
Burnham on Crouch
CM0 8DX

Tel: 07388 153930

(You can print a copy of this page for reference)