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UUCRT Directory Update
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Email
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Your email
Thank you for entering your current information below. It will be used to update the directory of Members and Friends. Please make sure there are no typos as that could prevent you from receiving information.
First Name (s)
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Your answer
Last Name (s)
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Your answer
Name of Spouse/Significant Other (Please list them, but they should fill out their own form)
Your answer
Number and Street Address
*
Your answer
City/Town State
*
Your answer
Zip Code
*
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Date of Birth (UUA requests it)
MM
/
DD
/
YYYY
I am a:
*
Pledging Member
Friend of the UUCRT
Other
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I use the following Social Media:
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Facebook
Instagram
I don't use social media
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My preferred method of contact is:
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Phone Call
Text (my cell is listed above)
Email
Snail Mail
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A copy of your responses will be emailed to the address you provided.
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