MEMBERSHIP BENEFITS

• Information about activities, programs

• Invitations to UUW&R meetings, events

• Opportunities to change the system

Suggested annual donation: $25

Send this form (check payable to UUW&R) to:

Patti Clark, UUW&R Treasurer, 3224 Timmons Lane #165, Houston, TX 77027

Name _____________________________________________________________

Address ___________________________________________________________

City / State (Province) / Zip __________________________________________

Phone________________________ Email ________________________________

UU Society_________________________________________________________

UU District_________________________________________________________

Amount enclosed ___________

For additional information, e-mail or call:

Grassroots Development Coordinator

Rev. Doddie Stone

812-235-4684