2018-19 PTA Membership Form
Your membership fee includes local, state, and national PTA dues, along with a minimal portion of the total amount the PTA spends each year on EACH child at DuFief Elementary. All memberships include one complimentary Student Directory and gift.

No fundraising is included in the membership dues.

If you have any questions about membership, please contact Lora Bacanskas, Membership Chair, at lbacanskas@aol.com.

Select your membership type *
A 'Double' membership ($40) includes two parents with voting privileges. A 'Single' membership ($25) includes one parent with voting privileges.
Additional Directories
Your membership (double or single) includes one FREE directory per family. If you would like to purchase additional directories, they are $3.00 each.
PTA Member #1 - First Name *
Parent/Guardian #1
Your answer
PTA Member #1 - Last Name *
Parent/Guardian #1
Your answer
PTA Member #1 - Email Address *
Parent/Guardian #1
Your answer
PTA Member #2 - First Name
Parent/Guardian #2
Your answer
PTA Member #2 - Last Name
Parent/Guardian #2
Your answer
DuFief Student First Name *
First name of your YOUNGEST student who attends DuFief
Your answer
DuFief Student Last Name *
Last name of your YOUNGEST student who attends DuFief
Your answer
Grade *
Grade of your YOUNGEST student who attends DuFief
Teacher *
Teacher of your YOUNGEST student who attends DuFief
Tax Deductible Donation for PTA Programs: suggested donation is $75 per child. Direct donations of $100 or more receive a free t-shirt while supplies last. Direct Donations paid before October 12th are counted towards the Coin War fundraiser - Friday dollar and checks day. *
Donations over $100 are eligible for a free t-shirt, while supplies last. Please select size
TOTAL AMOUNT FOR PAYMENT AFTER CLICKING SUBMIT ON THIS FORM *
Please tally up your selections (membership dues, additional directories and tax exempt donation) and enter your payment amount due to the PTA below. AFTER you submit this form, you'll need to follow the PayPal link to pay for your membership.
Your answer
How would you like to pay? *
Submit
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