Great Hollow PTA Membership Application

							              Great Hollow PTA Membership Application (2011-2012)




Member Name(s) (first & last): __________________________________________________________



Member Name(s) (first & last): __________________________________________________________



Full Address: ______________________________________________



            ______________________________________________



Phone Number: ____________________________________________



E-Mail Address: ___________________________________________



Student’s Name/Grade/Team: _________________________________________________________



         Membership Dues is $10.00** per member and anyone can join.


         No. of Adults:_____________ Total Enclosed: ______________ Check No_______.




                Please make checks payable to “Great Hollow Middle School PTA”

                  Return in envelope to PTA mailbox marked “PTA Membership”
 I want to help! Please contact me about Volunteer opportunities.

 I would like to be included on the PTA email distribution list for school and community news updates.



           __________________________________________________________________



           A List of PTA Committees and Their Chairpersons May be Found at Our Web Site!

                                   www.greathollowpta.com




                        GHMS Annual PTA Dues for 2011-12: $10* per member

 *This year's PTA dues reflect a $.50 increase in the required contribution to our Regional PTA. A final
vote on the new bylaws, and the increase in our 2011-12 dues, will take place at the first meeting of the
year (Sept. 14th). GHMS PTA membership cards will be issued to dues-paying members after the bylaws
are formally amended



                                      Thank you for your support!

                                 GREAT HOLLOW MIDDLE SCHOOL PTA




Card #_________