Membership Renewal Form
First Name
Last Name
Email
Phone Number
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Membership Role:
I am willing to:
Single Choice
Yes
No
I am willing to or have:
Single Choice
Yes
No
I am willing to (or have):
Single Choice
Yes
No
I am willing to:
Single Choice
Yes
No
Requirements ( I am willing to):
Commitment ( I am willing to):
Single Choice
Yes
No
Date Input
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
3
4
5
6
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9
10
11
12
13
14
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16
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20
21
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25
26
27
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29
30
31
1912
1913
1914
1915
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1917
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1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
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1931
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1937
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1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
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1971
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1973
1974
1975
1976
1977
1978
1979
Year
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
Active Membership Certification
I certify that I have met the following membership requirements:
Participation
Within the past 90 days I have regularly attended Sunday services at Unity of Fort Lauderdale in person or online.
Single Choice
Yes
No
Education
Within the past 6 months I have attended a class or workshop at Unity of Fort Lauderdale.
Name of class/workshop:
Sacred Service
I have completed the 2026 Sacred Server Initiation Form (required as of March 2026, received via email from bryan@unityfortlauderdale.org)
Single Choice
Yes
No
and I am currently actively serving on the following Ministry Team:
Ministry Team:
Financial Support
Within the past 90 days I have supported the ministry financially on a regular basis or make an annual financial contribution to Unity of Fort Lauderdale, and will continue to financially support the ministry.
Single Choice
Yes
No
Signature
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