Dues Remittance Form

Dues Form 2025-2026
When remitting your dues, please remember:
- Send remittance to the Massachusetts PTA.
- Remit the state and national portion of the dues to Massachusetts PTA by November 1st and monthly thereafter.
- Each time dues are remitted; you need to include a membership list. The membership list should be sent via email to the Massachusetts PTA at info@masspta.org. Your membership list must include names, telephone #s and e-mail addresses. (Massachusetts PTA does not sell our membership lists)
- Your membership drive is ongoing. Dues should be sent to the Massachusetts PTA as soon as they are collected. Dues should not be kept in your PTA treasury.
*Massachusetts PTA portion $2.25 and National PTA portion $3.25 = $5.50
PTA/PTSA Name (as stated in your bylaws)
National PTA ID#
Address of PTA

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Total Members

Rows	Teachers	Students	Parents/Caregivers/Other
Members

Total Members
Friends of PTA Donation
Total Owed
PTA Treasurer

First NameLast Name
Email
example@example.com
Please remit checks to:

Massachusetts PTA

c/o Karen DeRoche

PO Box 44

Rehoboth, MA 02769

Questions can be e-mailed to: info@masspta.org
Should be Empty: