CGM PTA MEMBERSHIP FORM Single Membership: $5__________
Dual Membership: $8__________
Member # 1 Name: ______________________________ email______________________________ Member # 2 Name: ______________________________ email______________________________ Address: _____________________________________________________________________ Phone Number: _________________________________ I am available to volunteer: ___ During School ___ After School ___ Not at All Child’s Name
Grade
Teacher
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Donations: In lieu of fundraising, in addition to my membership fee, I am enclosing my taxdeductible donation of $_______________
Official Use: Cash ______ Check # ________ Amount Paid _______