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Membership
8/4/2016

 AMS PTO Membership Form

  For just $5 you can help make a difference in a child’s life.

Please complete this form and return it with the membership fee to the PTO mailbox.

 

Name: ___________________________________(circle one: Teacher, Admin, Other)

Street Address:____________________________ City:__________ Zip Code:_______

Home Phone:_____________________

Cell Phone: _______________________

                                                                       

Email:__________________________________________________________________

                                              

 

PTO USE ONLY:  

Amount Paid:________Cash:________ Check #:____ Card Issued:___________