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New Visitor Form

New Visitor Form

_________ Unitarian Universalist Church

WELCOME and PLEASE PRINT all information:

Date:

Name(s):

Phone:

Email:

Address:

City:

State:

Zip:

Children:

  • Name:

    Age:

    School Grade:
  • Name:

    Age:

    School Grade:
  • Name:

    Age:

    School Grade:

Thank you for coming! Please help us and Check all those that apply:

1) Would like to receive a copy of our newsletter? 

2) How did you hear about us?

____ Word of Mouth

____ Friend/Relative

____ Yellow Pages

____ White Pages

____ Radio Spots

Newspaper Religion Notes:

The Star: ____ Main Saturday Edition

____ Johnson Co. Supplement

____ Star Advertisement

Other Newspaper:

Other:

Welcome and Thank You for completing this form!

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For more information contact interconnections@uua.org.