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Council Remittance Form
2024-2025
Date:
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CouncilEvergreenPhone:
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TreasurerEmail
evcptatreasurer@gmail.com
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DistrictState/Nat'lLate
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ID #Unit Name
Members
Dues $.50 Dues $4.25Fee
Founder's Day
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4701Cadwallader Elem. $ - $ - $- $-
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5869Carolyn Clark $ - $ - $- $-
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4702Cedar Grove Elem. $ - $ - $- $-
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5993Chaboya Middle $ - $ - $- $-
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1002Evergreen Elem. $ - $ - $- $-
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6315Evergreen Valley High $ - $ - $- $-
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4827Holly Oak Elem. $ - $ - $- $-
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5536James Franklin Smith $ - $ - $- $-
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3729John J. Montgomery Elem. $ - $ - $- $-
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3569Millbrook Elem. $ - $ - $- $-
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964Norwood Creek Elem. $ - $ - $- $-
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6373O. B. Whaley Elem. $ - $ - $- $-
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5537Quimby Oak Middle $ - $ - $- $-
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4540Silver Creek High $ - $ - $- $-
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5400Tom Matsumoto Elem. $ - $ - $- $-
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Total Membership0 $ - $ - $ - $ -
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Sixth District Dues - $.50 per member
 $ -
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State & National Dues - $4.25 per member
 $ -
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Insurance Late Fee State
($25) $ -
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Founders Day Gifts
 $ -
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Other $
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Remittance Check# $ -
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Send 2 Copies to: Treasurer
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Sixth District PTA
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1290 Ridder Park Dr., M/C 214
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San Jose, CA 95131-2304
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A portion of the total sum sent for the National portion of PTA membership dues
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is payment for one year’s subscription to Our Children, a magazine published
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by the National Congress of Parents and Teachers. It will be sent to the president
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of each local unit.
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