Our Mission: To Encourage Christians to Join the Struggle for LGBT Equality in our Churches and Nation

 

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CUEH Membership Application for Clergy and Laity

To become a member of Clergy United for the Equality of Homosexuals, please complete the simple form below. Rates and terms are specified below. Upon receipt of your application and payment, you will receive a membership kit by first-class mail. The membership kit includes the current edition of the CUEH Journal Newsletter, USER ID and PASSWORD (for on-line access), and other important member information.

FIRST NAME

LAST NAME

HONORIFIC

TITLE

CHURCH / ORGANIZATION

DENOMINATION

STREET ADDRESS

SUITE / FLOOR

CITY

STATE

ZIP

COUNTRY

PHONE

FAX

EMAIL

URL


Membership Information
Select a membership type and term below. Payment is by check to CUEH. You will receive a confirmation/invoice by email following submission of this form.

(Select Only One) TYPE and TERM (Corresponding Term/Amount)


INDIVIDUAL  

1 YEAR @ $35

2 YEARS @ $60.00

3 YEARS @ $80

LIFETIME @ $500


STUDENT  

1 YEAR @ $15

2 YEARS @ $25

3 YEARS @ $30


CONGREGATION  

1 YEAR @ $500


ORGANIZATION  

1 YEAR @ $500


NOTE:

You will be able to pay via PayPal or Mail a check on the following page

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Clergy United  |  415.686.0093  |  info@clergyunited.org

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