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GLENDALE COUNCIL OF PTA, INC. Membership Remittance Form
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Complete and submit with membership payments made out to Glendale Council of PTA, Inc. Make a copy of this form for your records. All checks must be signed by TWO CURRENT AUTHORIZED SIGNERS. Mail to:
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GLENDALE COUNCIL OF PTA, INC.
ATTN: VP OF MEMBERSHIP
223 N. JACKSON ST. #107
GLENDALE, CA 91206
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Revised August 2025
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DATE
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UNIT NAME
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TREASURER'S NAME
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TREASURER'S EMAIL
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MEMBERSHIP VP/CHAIR'S NAME
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MEMBERSHIP VP/CHAIR'S EMAIL
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QUANTITYCOST (each)AMOUNT
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Membership Dues $ 6.75 $ -
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Check #TOTAL $ -
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IMPORTANT: Make sure checks are payable to Glendale Council of PTA, Inc. (NOT Glendale Council PTA. NOT GCPTA.)
Checks with incorrect information will be returned to the unit.
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GLENDALE COUNCIL OF PTA INC USE ONLY BELOW THIS LINE
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Date Received: ____________________
Received By (initialed by 2 members):
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$ Received: ____________________
(1) ____________________
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Circle One: Cash / Check # __________
(2) ____________________
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