Enrolment Application Form

U3A Okeover Term 1, 2025 Courses

You can either:

fill in the form below and click the "Send Enrolment Application" button to submit your enrolment to us online, or
print the form, fill it out on paper, and hand your enrolment form to the treasurer at the desk.

Please hand your enrolment form to the treasurer at the desk if he is available.

You can use this form to enrol one or two members.

Enter member name(s):

Member 1

Member 2

The cost is $20.00 per course.

A: From Local to Global Village

Followed by...

B: Aviation based in New Zealand

Total Due

__________

Payment Method

Via Internet or Phone banking into account No 03-1594-0108506-00 (Please ensure you enter a surname and initial)

Please provide your contact details, so that we can contact you in relation to this enrolment application:

Name:

Email:

Complete these details only if they have changed:

Address:

Post Code:

Phone:

Emergency Contact:

Emergency Phone:

Signature: