JUC Special Plate application, FY2025-26
If you have any questions or problems filling out this form, please contact Rev. Jen Simon, 303-279-5282 ext. 702, or jen@jeffersonunitarian.org
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Email *

Person or JUC sponsoring group submitting this application:

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Date of application: *
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Name of organization - The organization must have a non-profit (3)(c) endorsement from the state of Colorado:


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Name of a person in this organization and how to contact them (phone number or email address):
 *

Address of organization to which the check should be mailed:

How do the mission and actions of this organization support the UU principles, JUC’s mission, or social justice resolutions of the delegates at the UUA General Assembly?

How will this special plate collection be used in the organization?

Are you applying for a specific month? If so, what month and why?

A copy of your responses will be emailed to the address you provided.
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