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UACC Membership Contact Information
Please fill out this form with your name, contact information, and any relevant details regarding your inquiry or request. Your submission will help us address your needs promptly and efficiently.
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First Name/Ім'я
*
Your answer
Last Name/Прізвище
*
Your answer
Email/
Електронна пошта
*
Your answer
Address/А
дреса
*
Your answer
Phone number/
Номер телефону
Your answer
Emergency Contact/
Контакт надзвичайних ситуацій
Your answer
Skills/Experience
/
Навички/Досвід
Your skills, interests, or areas of expertise that they may wish to contribute to the UACC
Your answer
Participation/
Участь
Inquire if the member is interested in volunteering for community events, activities or a valuable donor
Activities/Заходи
Events/Події
Volunteerism/Волонтерство
Donor/Донор
Other:
Comments/Questions/К
оментарі/Питання
Your answer
Your privacy matters. We collect minimal data for communication & newsletter delivery only. Your information is protected and will never be shared.
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