Membership Interest Form Contact Information Phone typeCellHomeWork Birthday* OccupationMember Information Marital StatusSelect statusSingleMarried/PartneredDivorced Is your partner also becoming a member?* YesNo, they are already a member.No Others in your household (ex. parents, children, etc) Name Relation Birthday Add more Name Relation Birthday Add more Name Relation Birthday Add more Name Relation Birthday Add more Name Relation Birthday Add more Name Relation Birthday Add more Name Relation Birthday I have been a part of a Unitarian Universalist congregation before?* YesNo Name of congregation: I have attended UUCA Inquirers?* YesNo I have children registered in Religious Education classes?* YesNo, but I would like more information.No What do you hope joining UUCA will bring to your life and the lives of others?* Maxim 750 charactersTell us about yourself. You may include where you’re from, your passions and interests, and anything you’d like us to know about you. *Pledge Information I pledge to give FrequencyMonthlyWeeklyAnnuallyOther I will fulfill this pledge by: Online payment(s) using the ‘Pledge’ option.Electronic funds transfer (EFT) with a checking account or credit cardBank payments from checking or savings account automatic bill payment system.Text ‘UUCA’ and the $ Amount Give to 73256 and select ‘Pledge’ on the dropdown menu.Check(s) payable to UUCA with Pledge Payment on the memo line.Stock transfer or Donor Advised Fund Request – Please notify Travis.Vaughn@uuca.org Thank you for fulfilling your 2020 pledge! Your pledge of financial support will continue until you notify UUCA at 404-634-5134 to change your pledge.