UUCRT Directory Update
Email *
Thank you for entering your current information below. It will be used to update the directory of Members and Friends. Please make sure there are no typos as that could prevent you from receiving information.
First Name (s) *
Last Name (s) *
Name of Spouse/Significant Other (Please list them, but they should fill out their own form)
Number and Street Address *
City/Town State *
Zip Code *
Home Phone
Cell Phone
Date of Birth (UUA requests it)
MM
/
DD
/
YYYY
I am a: *
Required
I use the following Social Media: *
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My preferred method of contact is: *
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A copy of your responses will be emailed to the address you provided.
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