Filling out the form below will send e-mail directly to FRIENDS OF URANIUM CITY!       Completion of all boxes is required
What's your name?

Where are you from?

Your e-mail address?
 

Can we put your mailing information on Friends of UC web page ? 
yes. 
no. 

IF No...

Can we give your mailing information to a "Friend of UC" on request? 
yes. 
no. 


Name

Street Address

City

Prov

Postal Code

telephone

IF "No" information will be used for Friends of Uranium City mailing purposes only.



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