WoES PTA - Member Information Form

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Please use this form to supply your membership or donation information, then follow up with your indicated payment method.

Email *

Contribution Type *

Membership & WoES PTA Donation

Membership Only - $10

Membership Only - Staff $10

Donation Only

Total Contribution Amount: (Membership dues are $10 per year, any amount over $10 will be considered a donation) *

Enter in your total contribution (Membership + Donation). Don't include "$" sign. For example: If I want to make a direct donation for $50, I would put 60 in this field. First $10 goes directly toward membership + any amount above $10 is a direct donation to the PTA).

Payment Method *

Select a payment method: PayPal (online), Square (swipe), Check (offline) or Cash. Please write your checks to "Worthington Elementary School PTA" and send it to the School.

PayPal or Credit Card (Use link on PTA website or QR code provided)

Square - In person events where a PTA member swipes your card (please do not select this unless you are physically atttending a WOES event signing up in person)

Parent/Guardian First Name *

List the individual making PayPal transaction first

Parent/Guardian Last Name *

List the individual making PayPal transaction first

Parent/Guardian Email *

List the individual making PayPal transaction first

Parent/Guardian Phone Number *

Students' Name and Grade (example: Joe Cool - Gr. 5) *

A copy of your responses will be emailed to the address you provided.

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