Vallejo Mill Elementary School Pta Membership Form
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1Vallejo Mill Elementary School PTA Membership Form
Member Information:
1. Name
Email
Telephone
Address, Zip Code
2. Name
Email
Telephone
Address, Zip Code
3. Name
Email
Telephone
Address, Zip Code
4. Name
Email
Telephone
Address, Zip Code
Student Information:
Name
Teacher or Room #:
Name
Teacher or Room #:
Name
Teacher or Room #:
Name
Teacher or Room #:
PTA is a registered 501(c)(3) nonprofit association that prides itself on being a powerful voice for all
children, a relevant resource for families and communities, and a strong advocate for public education.
Membership in PTA is open to anyone, including grandparents, students, and neighbors, who wants to be
involved and make a difference for the education, health, and welfare of children and youth. Thank you!
Payment: (Checks payable to Vallejo Mill PTA)
Dues for each member: $10 x number of members = $ ______________
Received by: _______________________
Date:___________________
Paid by: Cash or Check # _____________
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