Sand Lake Elementary PTA
Ride the Waves to Success
PTA MEMBERSHIP FORM
Level of Membership Desired:
Please indicate your desired membership by placing a checkmark next to the level & entering the amount. Turn this form in with the correct payment to the front office or your child's teacher. Please make checks payable to SAND LAKE ELEMENTARY PTA.
Membership Levels
Membership Level
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Membership Incentives
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Cost
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Amount
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Single
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1 PTA Membership
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$10 per
Individual
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$
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Bronze
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2 PTA Memberships, choice of 1 of the following:
lanyard, water bottle, backpack, or discount card
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$25.00-
$49.99 per
Family
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$
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Silver
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4 PTA Memberships, choice of 1 of the following:
lanyard, water bottle, or backpack.
Also included, $5 Spirit Wear coupon, discount card and coffee with Principal Suprenard
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$50.00-
$99.99 per
Family
|
$
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Gold
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6 PTA Memberships, choice of 1 of the following:
lanyard, water bottle or backpack.
Also included, 1 Yearbook, $5 Spirit Wear coupon, discount card, coffee with Principal Suprenard, recognition in the school newsletter and 1 entry into a drawing for 1 of 2 front row school parking lot spaces with family name on signage
|
$100.00 +
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$
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Please clearly print the following information for each member joining the Sand Lake Elementary PTA.
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First & Last Name
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E-Mail Address
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Member # 1
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Member # 2
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Member # 3
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Member # 4
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Gold members only below
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Member # 5
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Member # 6
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FOR PTA USE ONLY
Student's Name
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Grade
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Teacher
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Amount Rec.
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$
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Received by
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Incentives Rec.
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Yes or No
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Member Cards issued
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Yes or No
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