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Membership Renewal

Name*
First Last
Are you currently a member of UCGR?*
- Yes
- No
Are you interested in information about becoming a member?
- Yes
- No
- Not sure
Current members only:
I re-commit to being a member of Unity Church of Greater Rochester (UCGR), giving my active interest, love and support and demonstrating the principles of Love and Truth as taught by Unity. Please renew my name on the Membership Roster. I am including any changes in my contact information in the section below.
- Check this box to affirm
Signature (typing name here = signature)
First Last
Date
MM slash DD slash YYYY
CONTACT INFORMATION UPDATE - ALL MEMBERS & CONGREGANTS*
US Post Office Mailing Address (required for all members):

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
May we include your contact information in the printed UCGR Directory available to member and non-member congregants?*
- Yes
- No
I would like to start/continue to receive the following communications from UCGR:
- Email updates
- Postal mailings
- Wellness calls

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55 Prince St.
Rochester, NY 14607
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