Membership Form
 
As an independent member organization, the UU-UNO relies primarily on individual and congregational memberships and contributions. Help UUs make a difference. Please join today.
Name......................................................................................................................
Address..................................................................................................................
            ...................................................................................................................
State/Province.............................................Zip/Postal Code...............................
Phone......................................................Fax.........................................................
E-mail.....................................................................................................................
UU Society.............................................................................................................
Study/Action Issue of Interest #...........................................................................
Other UN Interests...............................................................................................

Circle the appropriate amount of your donation:

 
   U.S or Canadian
Youth/Retired
$ 25.00
 
Youth Group
$ 30.00
 
Individual
$ 40.00
 
Family
$ 60.00
 
Congregation
$ 100.00
 
Women’s/Men’s Groups
$ 75.00
 
Supporter
$ 100.00
 
Benefactor
$ 500.00
 
Other
$______
 
_____ I would like information on making a bequest

In the U.S. mail to: UU-UNO 777 UN Plaza C-C • New York NY  10017

In Canada mail to: The Canadian Unitarian Council • 705-55 Eglinton Avenue East • Toronto ON  M4P 1G8 and mark “Re: UU-UNO” on the lower left corner of your cheque in order to receive a receipt for income tax purposes.
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