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CUMC Membership Database Information
Providing the below information for your household will help us to maintain our membership database with.
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First and last names
(list all members of your household)
*
Your answer
Dates of birth
(for all members of your household)
*
Your answer
Home address
*
Your answer
Phone numbers
(for adults in your household; indicate home or cell)
*
Your answer
Email address(es)
(for adults in your household)
If you would like to subscribe to email communications from CUMC, please register
here
.
Your answer
Date married
(if applicable)
MM
/
DD
/
YYYY
List approximate baptism dates for each member of the household
(if not baptized, enter N/A)
*
Your answer
Please list approximate confirmation dates for each member of the household
(if not confirmed, enter N/A)
*
Your answer
I would like to receive
The Flame
monthly newsletter by mail
I already receive The Flame by mail
Yes
No
Clear selection
List the veterans in your household
Your answer
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