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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