City*
State*
Zip*
Country
(Required if outside United States)
Phone*
(e.g. 123-456-7890)
Fax
(If you're faxing your application)
E-mail Address*
UU Congregation (if applicable)
Donate
online using your credit card
If you would
like to make a secure donation online with a credit card, click the button below.
or
Donate by fax or mail
If you would
rather pay by mail or fax,
please print this page before filling out your payment information below.
Check enclosed
Please bill my:
VISA
MASTERCARD
AMERICAN EXPRESS
Card Number
Expiration Date:
Mail to:
Attn: Memberships and Giving
UUSC
P.O. Box 845259
Boston, MA 02284-5259
Fax to:
(617) 868-7102
Your privacy is protected.
UUSC does not lend or share its
mailing lists, including e-mail addresses. Rest assured that when you
provide this information it stays with us. In cases where colleague
organizations or groups ask us to provide them with direct access to
you, we will ask you first and/or allow you the opportunity to link to
this information if you so desire.
