JL Mann PTSA Membership Information
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Member 1 (Adult) - First & Last Name *
Member 1 (Adult) - Membership Type *
Member 1 (Adult) - Email Address *
Member 1 (Adult) - Phone Number *
Member 2 (Adult) - First & Last Name
Member 2 (Adult) - Membership Type
Member 2 (Adult) - Email Address
Member 2 (Adult) - Phone Number
Member 3 (Adult) - First & Last Name
Member 3 (Adult) - Membership Type
Member 3 (Adult) - Email Address
Member 3 (Adult) - Phone Number
Member 4 (Adult) - First & Last Name
Member 4 (Adult) - Membership Type
Member 4 (Adult)- Email Address
Member 4 (Adult)- Phone Number
Mailing Address
City
Zip Code
Student 1 - First & Last Name *
Student 1 - Grade *
Student 2 - First & Last Name
Student 2 - Grade
Student 3 - First & Last Name
Student 3 - Grade
Student 4 - First & Last Name
Student 4- Grade
Total Paid Memberships *
0
1
2
3
4
Parent/Family/Community Member
Faculty/Staff
Student
Total Number of Memberships x $6.00 = *
Payment Forms
Please pay the amount above by cash or check.  Checks should be made out to JL Mann PTSA.  Please pay during schedule pickup, New Patriot's Night, Open House or send payment in 1st Day Packets.
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