Join U3A Box Hill

Complete the form below to apply for membership. Fields marked * are required.

Your details

First name

Required.

Last name

Required.

Preferred name

Shown in place of your first name where set.

Required.

Gender

Required.

Member type

Required.

Year of birth

Required.

Address

Street number and name

Required.

Suburb

Required.

State

Required.

Post code

Required.

Contact

Preferred phone

Australian mobile or landline — spaces are added for you.

Required.

Other phone

Required.

About you

(Previous) Occupation

Required.

Country of origin

Required.

Emergency contact

Required.

Their contact number

Required.

Relationship

Required.

Create your login

12 to 30 characters. Cannot contain < > \ & or apostrophe ( ' ).

Required.

Confirm login password

Required.

Terms & conditions

I agree to the U3A Box Hill Membership Conditions

Read the full terms and conditions.

I accept the terms and conditions

Please accept to continue.

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