Fill in the form, print, and mail in with your dues check to: Gail Donkin, PO Box 468, Cataumet MA 02534

AUUA Membership Application / Renewal

New Renewal

Registrant

Name
Title
Employer
Church Address

City	State/Province	Postal Code
Phone	Fax
Email

AUUA dues

NOTE: For the September 1, 2007, to August 30, 2008 Fiscal Year, dues are being prorated so that all dues will become payable in full on September 8, 2008. Please contact Gail Donkin, AUUA Administrator, to find out what your membership fee will be for this year.

AUUA dues are based on certified church membership.
Number of certified members in your congregation:

$65 — 0 to 149 members
$80 — 150 to 299 members
$105 — 300 to 499 members
$150 — 500 members or more
$150 — District Staff or UUA Staff
$15 — Retired Administrators

Please make check out to “AUUA”, fill in and print this form, and mail both to:
Gail Donkin PO Box 468, Cataumet MA 02534

Other useful information, please...

In your job, do you have primary or supervisory responsibility for any of the following? Please check all that apply:
Finance or Fund Raising
Facility Management
Personnel Management
Food Service Management
Office Management
Computer Systems Management

How many do you supervise?
Please list their job titles: