U3A Lismore Online Enquiry Form Name * First Name Last Name Email Address * Please enter a valid email address for contact purposes Phone Please enter a valid landline or mobile numbe (###) ### #### How did you hear about U3A Lismore? You may select more than 1 box if applicable A current or previous member A relative Lismore U3A website (www.lismoreu3a.com.au) Literature at a local venue Other Have you particular courses you may be interested in? You may add more than one area of interest, separate each by a comma Message If you wish to add a message, please type in the space below Thank you, for making this enquiry. A member of our U3A Committee will get back to you as soon as possible