Jaes Pta Membership Form

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JAES PTA Membership Form
Yes, I want to join JAES PTA. I know that as a member of the JAES PTA I will automatically become a member in
the Virginia and National PTA and will be able to take advantage of the benefits of the PTA.
Please Print Legibly
Parent/Adult Membership: $10
Member Name: ______________________________________________
Parent/Adult Membership: $10
Member Name: ______________________________________________
Donation to the PTA:
$___________
Cash
Check / Check # __________________
Total Enclosed:
$___________
Student's Name: __________________________________ Teacher: _________________________________
Student's Name: __________________________________ Teacher: _________________________________
Please make checks payable to: John Adams PTA
Return completed form & membership/donation funds with your child
to school in an envelope labeled: John Adams PTA Membership
Mailing Address: ___________________________________________________________________________
__________________________________________________________________________
Email Address(es): ________________________________ / ________________________________________
PLEASE ADD ME TO THE JAES LISTSERV
Phone Number(s): _________________________C H W____________________________C H W
My Preferred Method(s) of Contact:
MAIL
EMAIL
PHONE
TEXT
THANK YOU FOR JOINING JAES PTA!

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