ABCDEFGHIJKLMNOPQRSTUVW
1
Council Remittance Form2025-2026Date:
2
3
CouncilSanta ClaraPhone:
4
TreasurerEmail
5
6
DistrictState/Nat'l
7
ID #Unit Name
Members
Dues $.50 Dues $5.25
Founder's Day
8
9
1078Adrian C. Wilcox High $ - $ - $-
10
6664Agnew Elementary PTA $ - $ - $-
11
1063Bowers Elem. $ - $ - $-
12
1064Bracher Elem. $ - $ - $-
13
4830Braly Elem. $ - $ - $-
14
1065Briarwood Elem. $ - $ - $-
15
1066Buchser Middle School $ - $ - $-
16
6500Central Park Elem. $ - $ - $-
17
4225George Mayne Elem. $ - $ - $-
18
1067Haman Elem. $ - $ - $-
19
6638Huerta Middle $ - $ - $-
20
4856Juan Cabrillo Middle $ - $ - $-
21
1068Kathryn Hughes $ - $ - $-
22
1069Laurelwood Elem. $ - $ - $-
23
6655MacDonald High $ - $ - $-
24
1070Millikin Basics Plus Elem. $ - $ - $-
25
6547Mission Early College High $ - $ - $-
26
1071Montague Elem. $ - $ - $-
27
1072Peterson Middle $ - $ - $-
28
1073Pomeroy Elem. $ - $ - $-
29
1074Ponderosa Elem. $ - $ - $-
30
1075Santa Clara High $ - $ - $-
31
3482Scott Lane Elem. $ - $ - $-
32
1076Sutter Elem. $ - $ - $-
33
1077Westwood Elem. $ - $ - $-
34
35
Total Membership0 $ - $ - $ -
36
37
Sixth District Dues - $.50 per member
$ -
38
State & National Dues - $5.25 per member
$ -
39
Founders Day Gifts
$
40
Other $
41
Remittance Check# $ -
42
43
Send 2 Copies to: Treasurer
44
Sixth District PTA
45
1290 Ridder Park Dr., M/C 214
46
San Jose, CA 95131-2304
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100