UCCM MEMBERSHIP REGISTRATION FORM Types of Membership: Please indicate the membership type on this registration form. Family/Household Name: Phone Number: Your Household Members: Please enter details for each person as indicated below. Click the button to add more members not exceeding ten (10) per household Click to Add Member Your Total Membership Fee:$0 This will be your total fee on PayPal Instructions: Please list your household members above whom you wish to register for membership with UCCM. For any adults or youth (aged 15-24), provide telephone and email addresses. No need to provide phone or emails for family members under 15yrs. ANNUAL DUES will be assessed as follows: Regular: $25, Associate: $15, Youth (15-24 yrs): $10, Children/teens under 15yrs: Free Optional: I / We are interested in volunteering and/or supporting UCCM in the following areas: (check below) Fundraising Events Preparation for Events Pledge a Monetary Donation
