ANNUAL MEMBERSHIP DUES
ALL-INCLUSIVE MEMBERSHIP
(National, State,, Local)
__________ Members at $5.00 per member Amount Enclosed:$___________________
(Checks payable to "THS PTSA" please)
Adult Member's Name:______________________________________________________
Adult Member's Name:______________________________________________________
Student Member's Name:_______________________________________Grade:________
Student Member's Name:_______________________________________Grade:________
Address:__________________________________________________________________
Telephone:_________________________________________________________________
Email Address:_____________________________________________________________