Thank you for requesting membership in Unity Center. Membership gives you voting rights at the annual meeting and shows your desire to support and be supported by the other membership in this church. Please fill out the following application to help our Board of Trustees a little bit about you.

 

 

Name _____________________________________________________________________________________________________

                        Last                                         First                                         Middle

 

Address ___________________________________________________________________________________________________

                      Street                                         City                                         Zip

 

Home Phone _________________________________________ 

 

 

Work Phone__________________________________________

 

Mobile Phone ________________________________________

 

 

E-mail _______________________________________________

 

Occupation___________________________________________

 

Partner or Spouse ____________________________________

  

 

Date of Birth__________________________________________

 

Children at Home:

Name_______________________________________   Date of Birth___________________________

 

Name_______________________________________   Date of Birth___________________________

 

Name______________________________________    Date of Birth___________________________

 

Name_______________________________________   Date of Birth___________________________

 

 

I have participated in the following Unity classes:

 

 

 

 

 

Unity activities or classes I would like to attend: