HMPTA_Membership

Horace Mann PTA Husky Annual Fund & Membership
My Family Counts - Count Us In!

While a public school education is free, a great education depends on support from the entire community. Horace Mann needs to raise an average of $550 per student to provide the enrichment and education our students depend on for their future success. Every dollar counts and we depend on you to support us at the maximum level you are able.
Name *

First Name Last Name
Email *
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Address *

Street Address

Street Address Line 2

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Phone Number *
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Please indicate your affiliation, if any. *
Number of Children Attending Horace Mann *

	First Name	Last Name	Grade	Teacher
Student 1
Student 2

PTA Membership
I also want to Join the PTA: *

$10 - Membership for One $20 - Membership for Two Not at this time
Copy Information from Above for PTA Member 1?
PTA Member 1 - Name

First Name Last Name
PTA Member 1 - Email
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PTA Member 2 - Name

First Name Last Name
PTA Member 2 - Email
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Yes! Sign me up for the Husky Howler, the weekly PTA newsletter: *
Comments or Suggestions

Payment Summary

	PTA Membership	Annual Fund Donation	Total
Amount to be Charged

Donation Total
Order Total
Date Submitted *

Month Day Year
Date
A Letter of Acknowledgement will be sent to you, for tax purposes. Please consult your tax advisor for tax deductions. The PTA membership ($10) does not qualify for tax exemption.

Total Payable to Horace Mann PTA:

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Horace Mann PTA Husky Annual Fund & Membership