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U3A Oliva

 

Member Application

Level
Member €11.00 (EUR) Subscription period: 1 year, on: September 1st Automatic renewal: no
READ CAREFULLY BEFORE CONTINUING

Please complete this form and submit. You can pay your membership fee (€11) online by Paypal or credit card, at any branch of Solbank, or by bank transfer from your own bank. Click here for account details. We do not accept cash.

You may attend any groups that interest you as soon as you have submitted this form.

Include a brief description, and, if possible, a photo. This information is only visible to members.

Telephone the website administrator on 96 285 1877 if you have any queries concerning your application.

Fill in application form

Application form

* Mandatory fields
 

 

*Preferred first name
*Last name
*e-Mail
Telephone
*Password
 
 

Contact data

Mobile phone
Address
*Town
Postal code
Province
Picture
 

Emergency contacts

Contact 1
Relationship 1
Phone number(s) 1
Contact 2
Relationship 2
Phone number(s) 2

Security check

* Code
 
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The U3A does it in groups!