Class Enrolment Form

Please select your chosen classes. Those activities listed in the prospectus for which there is no fee e.g. walking groups, talks etc do not need to be listed on this form.

Fees: £12 per class for 1 term, £24 for 2 terms.

To apply for classes fill in the form below and make payment by bank transfer.  Alternatively print out a form to fill in here and return with a cheque.

Name
Membership number:
Telephone:
E-mail
1. Please choose class category:
1a. Please choose your art and craft class:
1a. Please choose your board / card game class:
1a. Please choose your short course class:
1a. Please choose your history & philosophy class:
1a. Please choose your language class:
1a. Please choose your music class:
1a. Please choose your poetry and prose class:
1a. Please choose your science and technology class
1a. Please choose your sport, keep fit and dance class:
1a. Please choose your varied interest class:
Add a second class:
2. Please choose class category
2a. Please choose your art and craft class:
2a. Please choose your board / card game class:
2a. Please choose your short course class:
2a. Please choose your history and philosophy class:
2a. Please choose your language class:
2a. Please choose your music class:
2a. Please choose your poetry and prose class:
2a. Please choose your science and technology class
2a. Please choose your sport, keep fit and dance class:
2a. Please choose your varied interest class:
Add a third class?
3. Please choose class category
3a. Please choose your art and craft class:
3a. Please choose your board / card game class:
3a. Please choose your history and philosophy class:
3a. Please choose your language class:
3a. Please choose your music class:
3a. Please choose your poetry and prose class:
3a. Please choose your science and technology class
3a. Please choose your short courses class:
3a. Please choose your sport, keep fit or dance class:
3a. Please choose your varied interest class:
Add more classes?
If you wish to add more than the three classes above, please input here.
List alternative choices if desired:
Are you paying for 1 or 2 terms?
Please choose how you would like to make your payment

Your reference should be your initials and the first 3 letters of surname, your membership number plus the letter and number of the class.  A separate payment will need to be made for each class you join.


Payment to U3A
Sort Code 40-25-10
Account no 34017021

Please make cheques payable to "Huddersfield & District U3A" and send to:
U3A, Aspin House, Block B, Station Road, Huddersfield, HD2 1UT

These details will also be on the email you will receive after you submit this form.

Note:

The information supplied by you on this form will be recorded on the Huddersfield and District U3A database at our offices. No information from the U3A files which could identify any individual members will be disclosed to any unauthorised persons.

After submitting this form you will receive a email confirming your request. After payment is received the U3A office will contact you to confirm your place(s).

Contact Details

Aspin House
Block B
Station Road
Huddersfield
HD2 1UT
Tel:  01484 308482
Email: office@huddersfieldu3a.org