PTA Membership Form
To apply for membership please complete all questions.
Full Name of Member
*
First Name
Last Name
Member Type
*
Please Select
Parent/Guardian
Student
Grandparent
Teacher
Community Partner
Other
E-mail
*
example@example.com
Cellular Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student Full Name (oldest at Nelson)
Student Grade
My Products
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Individual Membership
PTA Membership for 1 person
$
10.00
Family Membership
PTA Membership for 2 people.
$
15.00
Texas Lifetime Award Member
Only those who have been awarded a lifetime membership can request this option.
$
7.75
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Additional Member Name for Family Membership
*
First Name
Last Name
Additional Member Type for Family Membership
*
Please Select
Parent/Guardian
Student
Grandparent
Teacher
Community Partner
Other
Submit Payment for Membership
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