PSA PCA MEMBERSHIP

Date

Palmetto Scholars Academy Parent Community Association

Choose from the PSA PCA Membership levels below and remember, your donation is tax deductible and 100% goes towards supporting students and faculty at PSA!

PSA Faculty PCA Membership $10.00
o Your choice of a PCA car magnet or window cling or window sticker
o Recognition in the 2020– 2021 PSA Yearbook
o 100% of the remainder of your donation goes towards purchases that support PSA students and faculty

General PSA PCA Membership $20.00
o Your choice of a PCA car magnet or window cling or window sticker
o Recognition in the 2020– 2021 PSA Yearbook
o 100% of the remainder of your donation goes towards purchases that support PSA students and faculty

Copper Sponsorship and PCA Membership $50.00
*Can be made in 2 payments of $25.00 each
o Your choice of 2 – PSA car magnet or window cling or window sticker
o Recognition in the 2020 – 2021 PSA Yearbook
o 100% of the remainder of your donation goes towards purchases that support PSA students and faculty

Bronze Sponsorship and PCA Membership $100.00
*Can be made in 4 payments of $25.00 each
o Your choice of 2 - PSA car magnet or window cling or window sticker
o Your family or business will sponsor their choice of events; banner recognition, program recognition and website recognition.
o Recognition in the 2020 – 2021 PSA Yearbook
o 100% of the remainder of your donation goes towards purchases that support PSA students & faculty

Silver Sponsorship and PCA Membership $250.00
*Can be made in 5 payment of $50.00 each
Your tax deductible membership will include all items from the Bronze level along with:
o Official sponsorship of BOTH PSA community events; including large banner recognition in high visibility area, program recognition and website recognition.
o One free PSA PCA member tee shirt

Gold Sponsorship and PCA Membership $500.00
*Can be made in 5 payments of $100.00 each
Your tax deductible membership will include all items from the Bronze and Silver levels along with:
o Buy-out of all required family volunteer hours
o Business or family logo on event t-shirts
o Two free PSA PCA member tee shirts

Platinum Sponsorship and PCA Membership $1000.00
*Can be made in 10 payments of $100.00 each
Your tax deductible membership will include all items from the Bronze, Silver and gold levels along with:
o Catered lunch for your family/business representative with Mrs. Rutherford during 2020-21
o Up to Four free PSA PCA member tee shirts

For more information on our organization and where your sponsorship money goes please visit our WEBSITE or EMAIL us.

Name *

First Name Last Name

Please add additional names for the membership as needed

Email *

example@example.com

Phone Number

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Do you have a student who attends PSA? *

Yes No

Student(s) Name(s):

Choose your membership level below: *

Teacher Membership = $10.00 General Membership = $20.00 Copper Sponsorship = $50.00 Bronze Sponsorship = $100.00 (or 4 equal payments of $25.00) Silver Sponsorship = $250.00 (or 5 equal payments of $50.00) Gold Sponsorship = $500.00 ( or 10 equal payments of $50.00) Platinum Sponsorship = $1,000.00 (or 10 equal payments of $100.00)

Would you like swag?

NO SWAG! I want all of my donation to go directly to the school! SWAG, please!

Which option would you like?

PSA Magnet PSA Car Cling PSA Car Sticker

Would you like to use the payment plan option?

Yes No

What size shirt would you like?

2nd Shirt Size

3rd Shirt Size

4th Shirt Size

Amount Owed

Credit or Debit Card Information:
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

JOIN US! Become a PSA Parent Community Association member today!