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Membership Form
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STILL ELEMENTARY SCHOOL PTSA
PTA/PTSA is the largest child advocacy group in the country, working hard toward improving education for all students. Your membership supports this effort. Our goal is to reach 100% membership this year!
We hope that this membership drive is the ONLY Still PTSA fundraiser!
Student Name(s) _________________________________________
Parent Name (s) __________________________________________
Mailing Address __________________________________________
Phone Number(s) _________________________________________
Email Address ___________________________________________
Do you want to receive PTSA Enews? ____ yes ____no
Levels of Membership:
Gold Level Membership $100.00 X ______ = __________
Silver Level Membership $75.00 X ______ = __________
Bronze Level Membership $50.00 X ______ = __________
Still Eagle Membership $5.00 X ______ = __________
Financial donation for Still PTSA __________
(We THANK YOU for your generous donation)
Total Amount of Order __________
Please make checks payable to Still PTSA
Names for Membership – We encourage all students, parents and staff to join.
(Please Print)
______________________ ___________________
______________________ ___________________
Thank you for your support!
Still Elementary PTSA
Cobb
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