Treasurer's Report

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					                  MAINE CONGRESS OF PARENTS AND TEACHERS, INC.
                           C/O Erla Coburn
                           479 Davis Road
                           Durham, ME 04222
                           Telephone 207-353-8698 Fax 207-353-7125
                           erlacoburn@aol.com

          MONTHLY UNIT TREASURER’S REPORT – 2011 - 2012
 REMITTANCES ARE DUE BY THE 15TH OF EACH MONTH (Submit even if no activity- report 0.)

Today’s Date ___________________________ For the Month of _________________________/______

PTA Name ___________________________________________ EIN _____________________________

School’s Address _______________________________________________________________________

City _______________________________________ State _______________ Zip __________________

School’s Telephone # _______________________________ Fax # _______________________________

PRESIDENT’S NAME _________________________________________________________________

Address_______________________________________________________________________________

City _______________________________________ State _______________ Zip __________________

Home Telephone # _________________________________ Fax # _______________________________

Email___________________________________________

TREASURER’S NAME ________________________________________________________________

Address_______________________________________________________________________________

City _______________________________________ State _______________ Zip __________________

Home Telephone # _________________________________ Fax # _______________________________

Email___________________________________________

        Type of PTA: Preschool____Elementary____Middle/Jr.High_____High School____

Please remit $4.25 per member (Maine PTA Dues: $2.50; National PTA Dues: $1.75)

Total Paid NEW Members:__________x $4.25                                   $__________________

Liability Insurance: $35.00/Unit/Year (paid with first remittance only)*   $__________________

Donation to Maine PTA for Field Service Work (ie:unit/regional training)   $__________________

Total Amount Enclosed                                                      $__________________

Make Checks Payable to Maine PTA and Send To:
C/O Erla Coburn
479 Davis Road
Durham, ME 04222
*Liability insurance is required. Proof must be shown if you have your own.

				
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