UNITARIAN EARTH SPIRIT
NETWORK

Application for Membership

I would like to join the Unitarian Earth Spirit Network.
I enclose my first years subscription - a cheque for £13 (payable to "Unitarian Earth Spirit Network")

Name:................................................................................................... (please print)

Signature:.................................................................................................................

Address:...................................................................................................................

Address:...................................................................................................................

Post Code:........................................ Telephone:.......................................................

E-mail:......................................................................................................................

I am a member of the following Unitarian Chapel / Church / Fellowship: ..........................

I am not a member of any Unitarian Fellowship ..................................

I heard about the UESN from: (please tick)

GA Website ........ "US" Website ........ church/chapel ........ friend ........

other .................................(please state)

Please send your cheque and completed Application Form to:

Ref Code: esnindex/membershipfm.html