MCCPTA Membership Dues Form
All MCCPTA dues must be paid by check made out to MCCPTA.  Dues are $1 per member.

When you fill out this form, you will receive an e-mailed invoice.  Print two copies.  Mail one in to MCCPTA with your check and keep the other for your treasurer's book.

Mail check and invoice to:
PO Box 10754
Rockville, MD 20849

Pay your state/national dues separately.  This means you are making TWO payments for each member.  One payment goes to MCCPTA.  The other payment goes to Free State PTA.  Free State PTA pays National on your behalf.  Pay Free State PTA by using this form:
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Your name *
Your Role *
Your e-mail *
Your phone number *
Your PT(S)A's treasurer's name
Your treasurer's e-mail address *
What school year are these dues for? *
Please submit any dues for a prior school year as a separate payment.  You can mail in the same envelope, but they should be two separate checks.
What type of payment is this? *
Total number of PT(S)A members you are paying for with this payment?  Remember, you pay $1/member *
What is your total number of members to date this year (including members included in this payment) *
Your PT(S)A *
Check Number (if known)
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