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2021-2022 General PTA Membership Form
Membership fees are $20 per family, $10 per individual adult
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* Indicates required question
Primary Member’s Full Name:
*
Your answer
Email
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Date of SignUp/Event Name
*
Your answer
2nd Member’s Full Name* (*One additional adult member is allowed per household. Please consider purchasing another membership if there are more than two adults interested.)
Your answer
2nd Member’s Full Address (if different):
Your answer
2nd Member’s Email:
Your answer
2nd Member’s Phone Number:
Your answer
Are you are interested in volunteering with the NMES PTA?
*
Yes
No/Not Sure
Student’s Name (Last, First):
*
Your answer
Grade and Teacher
*
Your answer
Student’s Name (Last, First):
Your answer
Grade and Teacher
Your answer
Student’s Name (Last, First):
Your answer
Grade and Teacher
Your answer
Student’s Name (Last, First):
Your answer
Grade and Teacher
Your answer
Payment Method
*
Cash/Check (Can be sent in to child's teacher)
Paypal (Paypal ID:
nmesptamoney@gmail.com
)
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