Permission Form for Household ListingPermission Form for publishing information on the CVU Household Directory AND realizing that this information will be shared with the Canadian Unitarian Council (CUC) www.cuc.ca Download PDFDate: MM slash DD slash YYYY Name: First Last Pronouns(she/her)(she/they)(he/him)(they/them)(ze/zer)Partners Name: First Last Children's Names and Birthdays:NameBirthday May we list the names on the Household list? Yes No Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Mailing Address:If different from your home address. Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code May we list the address(es) on the Fellowship list? Yes No Phone number/sMay we list this phone number on the Household list? Yes No Emaill/s May we list this email on the Household list? Yes No Would you like PAD information?PAD = preauthorized donation forms Yes No Δ Related Submit a CommentYour email address will not be published. Required fields are marked *Comment * Name Email Website Δ
