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Membership Renewal Form
Membership at Unity is sacred and you are an important part of our membership!
In an effort to
keep our members connected
we request members to renew their membership on a bi-annual basis to keep our records updated. It also gives us all an occasion to reflect on what membership at Unity means to each of us. Please complete this renewal form, perhaps with a prayerful pause or the lighting of a candle, to keep your membership actively updated.
We will update our Unity Connects database with the information you provide at the top of this form (name through email address).
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First and Last Name
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Your answer
Address (please type your FULL address including street address with unit number, if relevant, or P.O. Box, city, state, and zip code.)
*
Your answer
Preferred Phone Number (home or cell)
*
Your answer
Email Address
Your answer
How long have you attended Unity of Walnut Creek?
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Your answer
What year did you became a member?
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Your answer
What topics would be interesting for you for classes/events?
Your answer
What’s an opportunity that you would like to have that we are currently not offering?
Your answer
Family Situation now:
Married
Single
In a Relationship
Clear selection
If you are married or in a relationship; to whom? Does your partner/spouse attend Unity?
Your answer
Do you have any children?
Yes
No
Clear selection
If you have children; what are their names, how old are they, do they attend Unity, or may they potentially attend Unity?
Your answer
Do you have any grandchildren?
Yes
No
Clear selection
If you have grandchildren; what are their names, how old are they, do they attend Unity, or may they potentially attend Unity?
Your answer
What type of work do you do?
Your answer
If you need a Unity Connects login, please type your email address below:
Your answer
I understand that by checking the "yes" box, it constitutes my legal signature, and that I am acknowledging that I am renewing my membership with Unity of Walnut Creek and updating my contact information.
Yes
No
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