Membership Status Questionnaire


Welcome to UCC Norwich Membership Status Questionnaire

Please check all that apply and leave comments at the end if you wish.


1. Address:
2. Email:
3. Phone: Home:
4. Phone: Cell
5. Please retain me as an Active member on the membership rolls.

6. I want to maintain my membership, but please make my status Inactive.

7. Please remove me from the membership rolls.

8. I have joined a new church.  (check all that apply)

9. I am planning to join another church.

10. Please continue to send me all mailings.

11. I only want to receive the monthly newsletter.

12. I do not wish to receive any mailings.

Thank you for updating your membership information.

Author: admin