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UUAMP Membership Application & Renewal Form
Welcome! Application for membership in UUAMP assumes your agreement with our bylaws, mission and vision found here:
http://www.uuamp.org/about-us/mission/

Questions? Please Contact:
Tina Lewis
tlewis@unitytemple.org
Last Name: *
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First Name *
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Title (optional):
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Pronouns (she/her/hers, he/him/his, they/them/theirs, ze/zem/zir, etc.):
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Position Title: *
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Congregation FULL Name (if you are associated with a Congregation): *
If you're not associated with a congregation, answer the following to the best that you're able regarding the organization you are associated with.
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Congregation/Association Street Address: *
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Congregation/Association City: *
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Congregation/Association State: *
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Congregation/Association ZIP code: *
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Office Phone Number: *
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Personal Phone Number: *
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Email: *
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Is this a Paid Position? *
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Hours per Week (paid or unpaid): *
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Position Start Date:
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Areas of Responsibility:
General Membership responsibilities already include welcoming and connections.
Skills that you might be willing to share with UUAMP:
Your UUA Region:
if applicable
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UUA Certified number of members:
if applicable
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Is this a: *
Required
How did you hear about UUAMP?
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Full or partial waivers are available to those who find themselves in special circumstances. You can request a full or partial waiver for the current membership year and is good for one year. You may re-apply in a future year. Please enter your reason for requesting the waiver below.
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Cost of Annual Membership (January - December) is $75. Once you submit this form, you will have the option of paying via PayPal with a credit or debit card, or via a mailed in check. If you opt to pay with a check, we will send you an invoice within one week.
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