UUMeN Membership Application and Renewal Form
Membership is open to individuals and groups. If you join
as an individual and a men's group of five or more UUMeN members later forms at
your congregation, we will apply the ten dollar difference in dues to your next
remittance. Please also consider making an additional tax-deductible gift.
| Annual Dues |
Additional Gift |
| ( ) Individual Member, $25 |
( ) Supporter, $100 |
| ( ) Group Member (5+), $15 each |
( ) Sustainer, $150 |
| ( ) MaleCall Only or Student, $15 |
( ) Other, $______ |
Please print this page. Check each category above that
applies to your tax-deductible financial contribution to the UUMeN, then
complete the information requested below. For groups, please complete a
single application and include a separate list of each member's name, mailing
address, e-mail address, and telephone number.
Members (including individual members of groups) receive MaleCall,
a quarterly newsletter, may vote at the UUMeN Annual Meeting, and are eligible
for discounts on UUMeN materials and event registrations.
Individual Name:
____________________________________________________________________________
Group Name:
____________________________________________________________________________
Mailing Address:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
E-mail Address: _______________________________________________________________
Telephone: (_______)
______-___________________________________________________
Name and Address of Congregation:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
( ) I/We support the purpose and objectives of the UUMeN and hereby apply
for UUMeN membership.
( ) Please renew my UUMeN membership.
Make checks payable in US funds to UUMeN. Send this form together
with your tax-deductible dues, remittance, and any supporting gift to:
UUMeN, P.O. Box 3070 , Madison, WI 53704-0070