Testing New Membership form

    U3A Goulburn Mulwaree Inc
    *** TESTING ONLY ***

    I hereby apply to become a member of U3A Goulburn Mulwaree Inc.

    I agree to be bound by the Constitution of the Association and Terms & Conditions

    My Details:

    My Address:

    In Case of Emergency (ICE) - please contact

    In Case of Emergency (ICE) - please contact

    The following U3A members have agreed to propose and second me for membership:

    Alternatively please request some U3A Members to proposed and second me

    I have been vaccinated for Covid-19

    I will wait for my U3A membership application status email and if approved
    will pay any U3A membership fees into the Commonwealth Bank using direct deposit.