MCCPTA DUES PAYMENT VOUCHER FOR 2008-09

 

Return bottom portion to the MCCPTA office at: MCCPTA, 2096 Gaither Road, Suite 204
Rockville, MD 20850.
  Keep the top portion for your records.

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                              MCCPTA Dues - Final Payment - Due March 1, 2009

 

Name of PTA:___________________________________________________

 

 

Number of Member:  Adults______   Teachers_______  Students______   Total______

 

 

Amount Remitted ($1.00 per member):  $__________   Check#______

 

 

PTA Treasurer:_______________________ Phone Number_____________

 

 

Keep this portion for your records.

 

                              MCCPTA Dues - Final Payment - Due March 1, 2009

 

Name of PTA:___________________________________________________

 

 

Federal Tax ID Number:________________________

 

 

Number of Member:  Adults______   Teachers________   Students______   Total______

 

 

Amount Remitted ($1.00 per member):  $__________   Check#______

 

 

PTA Treasurer:_______________________ Phone Number_____________

 

 

For MCCPTA Office Use Only:

 

Delegate Card Numbers:

 

Date:

 

Return this portion to MCCPTA

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