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English (US)
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
*
Ministerial standing?
*
Commissioned
Ordained
None
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
*
Submit
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