Membership Card
Please complete form to apply for membership at Piedmont UU Church. Contact with questions.
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Name *
Your Pronouns (e.g. She/her/hers)
Partner/Spouse, Child(ren) — For directory listing only; Please fill out separate form for each person wishing to join.
Mailing Address
Phone Number(s) *
Email *
Pledge support of Piedmont UU Church
According to church bylaws members must have a pledge on record. We are grateful for your generosity.
If you are experiencing financial hardship please contact our minister for a waiver of this requirement,
My total pledge for the 2021 church year will be: *
I will pay the above amount via the following donation schedule:
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Please list any skills, hobbies, interests that you would like us to know about.
Participation Interests and Opportunities for Service (Check all that apply)
Digital Signature *
Your Signature *
CHURCH DIRECTORY — Piedmont UU Church provides members with a directory. The information you provide will be published in the church directory.
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This form was created inside of Piedmont Unitarian Universalist Church.