We need to know more about you.
UUJME needs to know more about you in order to be more effective. We’d like to know where you are in the U.S. or Canada, for example, so that we can tell you about local events, plans and actions. Please fill out the following form. Items with a red star are required.
First name
Your answer
Last name
Your answer
Email address
Your answer
Zip or postal code (Canada)
Your answer
Name of congregation (if none write "none")
Your answer
Are you a member of a UUJME chapter or group?
Name of UUJME chapter or group if a member (if none write none)
Your answer
Four-digit zip code extension
Your answer
Phone number
Your answer
Street address (with apartment if applicable)
Your answer
City
Your answer
State or Province
Your answer
Country
Your answer
Religious affiliation, if any (eg. UU)
Your answer
Organizational or personal Website, if any
Your answer
Please share with us what other Palestinian justice or human rights organizations you work with, if any.
Your answer
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