PTSA Membership
"help
paint the future!"
Ben Eielson JR/SR High PTSA
MEMBERSHIP
FORM
YES, I want to
join the Ben Eielson PTSA!
MEMBER NAME:
__________________________________________________________________________
PHONE: __________________________ EMAIL:
__________________________________________
MEMBER NAME:
__________________________________________________________________________
PHONE: __________________________ EMAIL:
__________________________________________
STUDENT MEMBER
NAME: _________________________________________________________________
GRADE: __________ EMAIL:
__________________________________________________________
STUDENT
MEMBER NAME: _________________________________________________________________
GRADE: __________ EMAIL:
__________________________________________________________
ADDRESS:
_________________________________________CITY: __________________ZIP:
___________
NUMBER
OF MEMBERS: _________ x $10.00 per membership = $ __________
NUMBER
OF STUDENT MEMBERS: _________ x $5.75 per membership = $ __________
(Make checks payable to Ben Eielson PTSA)
Please return to the
office or mail:
Ben Eielson PTSA, 675 Ravens Way, Eielson AFB, AK 99702
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