Membership

For Membership please complete the form below

First Name
Last Name
Address
City
State
Post Code
Phone	Your primary contact number
Email
Year of Birth
Membership Type	Membership Type Full Membership ($40) Associate membership* ($20) Combined U3A YRS** ($0)
Volunteer
Leader
Membership Number

*Associated membership is when a person is a member of any another U3A

**Combined membership is when a person is a member of a U3A in the same region

Payments may be made by Cash, Cheques (made payable to U3A Mt Dandenong and District) or Direct Deposit to our account (BSB 633-000 Account Number 135678266. Please indicate U3A + your surname as references, so that we know who has paid).

Or if you would like, please download the membership form below and return it to the following address.

Mount Dandenong U3A,
PO Box 73,
Kalorama
Victoria, 3766