BAY VIEW ELEMENTARY PTA MEMBERSHIP FORM FOR 2009-2010

Thank you for helping us reach our goal of 200 members in the Bay View PTA this year!

Our annual membership cost is $10.00 per member.

Please return this form along with your check (payable to Bay View PTA)

to your child’s teacher or mail it to:

Bay View PTA

PO Box 878

Burlington, WA 98233

Please Print Clearly

Last Name:  ________________First Name: ____________________

Street Address: ____________________________________________

City: ___________________________ Zip: _____________________

Phone :________________________Email:______________________

___ I authorize the PTA to contact me at the above email address.  It shall be used for

PTA newsletter, announcement, and contact purposes only.

Student’s Name: _________________Teacher:__________________

Student’s Name: _________________ Teacher: _________________

Student’s Name: _________________Teacher:__________________

__I would like to be contacted about the committees I have circled on the back of this sheet.

Please contact the Family Involvement Coordinator if you have any questions or wish to speak with

a PTA board member.  bv-vc@be.wednet.edu  or 757-3322

For Office Use Only:

Date Paid: ______________

Check #__________Amount$________Receipt#__________PTA Membership#__________