U3A Wellington City Membership

Membership *

Annual Member - $ 40.00

Total Amount

Email Address *

Additional Membership Details

First Name *

Middle Name

Last Name *

Preferred phone number *

Street Address (Primary) *

Address Line 2

Suburb

City (Primary) *

Postal Code (Primary) *

Send newsletters by email *

Yes No

Send newsletters by post *

Yes No

Not in full time employment *

confirm

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