Unity of Washington, DC

Address Form

Instructions:

If you are a member or regularly attend Unity of Washington, DC please complete this Unity Address form if you haven't already done so.

We are updating our records and ask that you complete the following address form to ensure that we have the correct information on file. Unity of Washington, DC wants you to receive the wonderful good news that we send to our congregants. Submit the form by clicking the SUBMIT button at the bottom of the form. Complete the form then hit the Submit button and this form will be e-mailed to Unity OR complete the form then print and fax it to us. Our fax number is 202-544-4108.

Your Full Name
First Middle Last

Preferred Name

Address
City State Zip

Home Phone
Work Phone
Cell/Pager Phone
E-mail

Date of Birth     (MM/DD/YYYY)
Marital Status
Occupation
Employer

Do you wish to be on our Mailing List?

Date you officially joined Unity (MM/YYYY)
Love In Action/Committee you currently serve or have Served:

Skills, Interests, Talents and Abilities:

PROBLEMS:
If you have problems submitting the form, please read the error message then use your browser's BACK button to go back and correct the problem. If the problems continue, send e-mail to unitydc2@verizon.net. In the e-mail, describe the problem and list exactly what you entered for each field. Please also include the error message that you received.