Comox Valley Unitarians

Application for Membership

We are pleased that you are interested in joining The Comox Valley Unitarians.

When you submit the application form, it is then forwarded to the Board for their consideration.

Please fill out the membership form below.

An annual monetary contribution is necessary in order to remain a member in good standing

and to receive our internal Communicator.

Date:
MM slash DD slash YYYY
Name:
(as I wish it to appear on the Fellowship List and on my name tag)
First Last
Address:
Street Address Address Line 2 City Province Postal Code
Mailing Address:
If different from your home address.

Street Address Address Line 2 City Province Postal Code
Phone:
Email:
Members of my household:
Name: Relationship: Member of the Fellowship?
Have you previously been here?
- Yes
- No
If yes, when ?
Are you a member of another Unitarian Congregation?
- Yes
- No
If yes, which one?
Have you ever been a member of a Unitarian Congregation?
- Yes
- No
If yes, which one and when?
Please provide a brief biographical sketch about your past and present that we can publish in our newsletter “About Us”.
I hereby apply for membership in The Comox Valley Unitarians. In applying for membership at this time, I acknowledge my responsibility to contribute to the life of this congregation.
- I Agree
Captcha

Comox Valley Unitarian Fellowship

Name:	Relationship:	Member of the Fellowship?