CLASS ENROLMENT FORM by etssetcf

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CLASS ENROLMENT FORM

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									                                    Huddersfield & District U3A
                               CLASS ENROLMENT FORM

Notes on completion
Enter your chosen class(es) in the rows headed 1st Class, 2nd Class or 3rd Class.
If you would like to provide an alternative choice, should any of these classes be full, please enter this
choice in the row headed Alternative.
Send cheque or postal order with this form. If you have already paid your class fees to your tutor before
the end of last term, you should still include the details in the list below.
If you apply for more than two classes, you may be placed on a waiting list.
Fees : £8.00 per class per term.
                                please tick
                  Class No Autumn       Spring                Class Title                          Office
                                                                                                    use
1st Class

Alternative

2nd Class

Alternative

3rd Class

Alternative



I enclose a cheque/P.O. payable to 'Huddersfield & District U3A' for £ ___________

Name (in caps)________________________ Mem. No._________Date_________
Address ____________________________________________________

Return to U3A, Shaw Park Office Centre, Silver Street, Huddersfield HD5 9AF

For Office use only
The panel below will be completed in the Office and returned to you as your Receipt
Thank you. We have received your payment of £___________ You have been allocated a
place in the following Class(es) unless the final column states otherwise.

  Class
        AutumnSpring                         Class name
   No.




Signed________________________                         date ______________

								
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