U3A Online

A Virtual University of the Third Age

Administration

Individual Signup Form

If you already have an account on our website, please log in to continue

* Membership Type

* Confirmation

This form is for joining U3A Online Inc – where all the courses are done online in your home.
This is not your local U3A Group where you go to a venue to do the courses.

Do you wish to join the virtual U3A?

* Payment System

Direct Deposit Payment Pay by Direct Bank Transfer
Cheque or Postal Money Order Pay by sending a Cheque or Postal Money Order
PayPal secure credit card payment

* First & Last Name

Gender

Female
Male

Are you...

* Your E-Mail Address

a confirmation email will be sent to you at this address

Age Group

Please indicate your Age Group for statistical purposes only.

40 years and younger
41 - 50 years old
51 - 60 years old
61 - 70 years old
71 - 80 years old
81 and over years young

How did you find us .....

* Choose a Username

it must be 4 or more characters in length
may only contain letters, numbers, and underscores

* Choose a Password

must be 4 or more characters

* Confirm Your Password

Address Information

* Street

* City

* Country

* State

* ZIP Code

Phone Number

Mobile

Terms & Conditions

In the event of my admission as a member, I will be bound by the constitution of the association for the time being in force. Download the U3A Online Constitution (PDF 104 Kb)

* I have read and agree to the Terms & Conditions

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