CCUS Registration Form
(For the exclusive use of CCUS members in North America).

Please fill the form below, one for each family.

The collected data are for communications matters, mainly in the season of severe weather and special events at the churches.

CCUS - IT Group.

it@ccus.org
Church *
Name *
Spouse
Number of children in your household. *
0
1
2
3
4
5
Boys
Girls
Address (Number & Street)
City *
ZIP *
State *
Cell phone (1st) *
Only numbers.
Cell phone (2nd)
Only numbers.
Cell phone (3rd)
Only numbers.
Cell phone (4th)
Only numbers.
Email (1st)
Email (2nd)
*
Required
Submit
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