AUCE Membership & Renewal Form

AUCE Membership & Renewal Form

After submitting this form, please send a check made out to "AUCE" to Lisa Hart, AUCE Membership Secretary, 4514 Sentinel Pass, Fitchburg, WI 53711. Questions? Contact Lisa at LHart@wcucc.org or call 608-438-1571.
Name *

First Name Last Name
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
Church/Agency *
Position/Title *
Church of Membership (Name, City, State) *
Select a Membership Category

Basic Member - $75 Sustaining Member - $100 (for those wishing to support AUCE further) Educator Couple - $100 Retired Educator - $35 Full-time Student - $35 Volunteer - $35 Group Membership - $175 (for up to 5 people from one church, institution, or school)
For Group Membership, list names, position, & e-mail addresses for each
Please verify that you are human *
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