M-A PTA Bears Membership

Your Name*

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student Name(s) and Graduation Year(s)

I want to help! Add me to the Volunteer email list.

Student 1 Full Name

Student 1 Graduation Year

Student 2 Full Name

Student 2 Graduation Year

Student 3 Full Name

Student 3 Graduation Year

Student 4 Full Name

Student 4 Graduation Year

Date

My Products*

PTA Membership

Please select number of students. $250 suggested donation plus $5 processing fee per student.

$255.00 Quantity
Item subtotal:$0.00

Other PTA Membership Fee

Suggested membership per student is $250, but you may give as little as $6 to become a member of the PTA (which includes a $1 transaction fee). Fill in the box below with your membership donation, no less than $6.

$1.00 Other membership donation amount
Item subtotal:$0.00

Donation: Grad Night Scholarship Ticket(s)

Please donate to support scholarship tickets for Grad Night, $140 per ticket, or any amount you wish to donate. This is not a Grad Night Ticket Purchase.

$1.00 Amount to Donate for Grad Night Scholarships
Item subtotal:$0.00

Additional PTA Donation

Want to donate more? Please fill Donation Amount field with desired amount of donation.

$1.00 Donation Amount
Item subtotal:$0.00

Total

$0.00

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M-A PTA Membership and Donations

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