2008-2009 OAK PTA MEMBERSHIP & PAYMENT

Deposit forms and payment in

PTA Membership drawer in Oak Office by August 29, 2008

Please fill out information for both parent members*
(*for PTA communications purposes only)

       Member / Parent 1                                                       Member / Parent 2
Name   _______________________   ___________________________
Email* _______________________   ___________________________
Phone*_______________________   ___________________________
Address*______________________
City, Zip_____________________         

Student 1 Name______________________ Teacher__________ Grade____
Student 2 Name______________________ Teacher__________ Grade____
Student 3 Name______________________ Teacher__________ Grade____

A) PTA MEMBERSHIP DUES -- Includes National and California PTA membership
Individual $10___         Family $25___     (includes one copy of Directory)
                                                                           Membership Dues    $_________

B) PTA BOOSTER -- Your additional contribution supports all PTA programs
Support $50___         Start $100___         Head of Class $250___         Other $_____
                                                                          PTA Booster Donation   $_________

C) EXTRA DIRECTORIES $10 -- not available for Individual memberships
            #____ Extra Directories @ $10ea.    $_________

D) ROOM PARTY FUNDS -- Holidays, Halloween, end-of-year picnic, etc.
  Grades K-5_____@ $10 per student    $_________
  Grade 6_____@ $25 per student    $_________

TOTAL PAYMENT ( Make checks payable to "Oak PTA")   $______________