Please select year of birth for statistical reasons.Person 2Person 1Privacy disclaimer: The contact information you provide will be used when necessary in the context of U3A activities only and will not be shared with any other organisation or in response to an individual request. MEMBERSHIP APPLICATION FORM. Status:ID Number:Preferred name (if different):Email: Status:PostCode:Town:Address2:Address1:PartnerPerson 1ID Number:Create password: First name: Mobile Phone xxxx xxx xxxHome Phone xxxx xxxx:Male / femaleAddressee Name If you are already a member, please click on RETURN and select Member Login to enter your ID and password; else ...Please fill in all the data for Person 1 and then for Partner (if applicable).Click on 'Click to Save' when finished.Surname: Please write down your ID number(s) and password(s).