Are you interested in helping to shape the policies and events of White Oak Grove CUUPs? The best way to do this is to become a voting member! And we have a special deal for you – no dues through Samhain 2022! Becoming a voting member is easy – just fill out the form and either mail it to the Church address on the form or scan it in and email it to whiteoakgrovecuups at gmail.com.

White Oak Grove CUUPS Membership Application

I would like to become/remain an active member of White Oak Grove CUUPS, Inc. I understand that as an active member of CUUPS, Inc., I will be able to vote on matters of policy in our group and run for Board positions. Through October 31, 2022, all local chapter dues are waived.

This is:

  • A New Membership                               
  • A Membership Renewal

Membership Type

Please select one:

GENERAL MEMBER / Youth Under Age 16 – anyone who expresses an interest in gathering with and or communicating with the members of the White Oak Grove CUUPS chapter.

VOTING MEMBER – for White Oak Grove CUUPS and are members of CUUPS National and/or a member of a UU congregation.

VOTING YOUTH MEMBER – Youth ages of 16-18, If they should wish to have to have a vote, must maintain membership in White Oak Grove and have a parent/ guardian who is also a voting member.

In place of dues for 2021/2022, donations will be happily accepted.

Total: $ ___________________

Confidentiality Information: At no time does CUUPS, Inc. sell or promote the use of the Members List for commercial purposes. This list is used for membership purposes only and CUUPS, Inc. business only. To ensure this, we are offering three levels of confidentiality.

Please select one:

  • Level 1

Your name, address, e-mail address and telephone will only be available to the current voting members of the White Oak Grove CUUPs, UU Rockford Board of Trustees and their Agents.

  • Level 2

Your name, address, e-mail address and telephone will be available on request to other CUUPS members for networking and other CUUPS related business.

  • Level 3

Your name, address, email address and telephone are available to anyone inquiring about UU Paganism and local contacts.

Contact Information:

Name:

______________________________________________________________________

Address

______________________________________________________________________

City ________________________ State/ Province _______________

ZIP Code ______________

Email Address __________________________________________

Telephone    ( _________ ) ________________________

UU Congregation you attend: __________________________________________

as _______Member _______Friend

CUUPS National Membership Number ___________________________

Donation/ Payment Options (U.S. funds only, please.) (You may email inquiries about this form to whiteoakgrovecuups@gmail.com) Make your check out to The Unitarian Universalist Church of Rockford, and reference White Oak Grove CUUPs in the memo line. PayPal options are also available through the UU Rockford website.

Complete and print this form and mail to:

White Oak Grove CUUPs, c/o Unitarian Universalist Church of Rockford,

4848 Turner Street Rockford, IL 61107

whiteoakgrovecuups@gmail.com

https://whiteoakgrovecuups.com/

www.facebook.com/groups/whiteoakgrovecuups

For White Oak Grove CUUPs use only –

Application received _________________________

Renewal notice sent _________________________

Renewal date ______________________________

Revised September 2021

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