2015-2016
LANE INTERMEDIATE SCHOOL PTA
MEMBERSHIP FORM
PTA is a group of people working together to make a difference in our students and their lives. We sponsor the Reading Program, Reflections Arts Program, assemblies, a field trips for every student, fun family events, a year end celebration, and so much more!! These events for your children cannot happen without your help!
Thank you in advance for joining Lane PTA. By becoming a member, you are supporting every child in our school whether through your member fee, time or a simply having a voice. No contribution is too small to make a difference in a child’s life. Your Membership does have the added benefits of discounted admission to all Lane PTA sponsored events, member discounts available on the National PTA website as well as the ability contribute input on PTA events. Also, your scholar will receive 1 Lane Buck when you join that they can use at a PTA sponsored event. (Remember memberships are tax deductible).
Questions? Email us at laneintermediapta@gmail.com
EARLY BIRD SPECIALS:
OFFERS EXPIRE 9/30
DISCOUNTED PRICE - $8 FOR SINGLE MEMBERSHIP OR $15 FOR COUPLE MEMBERSHIP
COMBO PACK AVAILABLE INCLUDES MEMBERSHIP & (1) LANE T-SHIRT:
$16 FOR SINGLE MEMBERSHIP OR $24 FOR COUPLE MEMBERSHIP
**YOUR CHILD’S CLASS HAS A CHANCE TO WIN A SPECIAL TREAT FOR MOST MEMBERSHIPS PER CLASSROOM. **
To join Lane PTA, return this completed form and membership payment.
Please note the price of Membership will go up after 9/30 to the normal price of $10 for Single and $16 for Couple.
Make checks Payable to: Lane Intermediate PTA
Students Name________________________________________________________________________
Student’s Core Teachers/Class ___________________ T-Shirt Size (Combo Pack Membership Only) ________
Person #1______________________________________Relation to Child_________________________
Address ___________________________________________ City ______________________________
State _________Zip Code___________ Phone Number _______________________________________
Email Address ________________________________________________________________________
Person #2______________________________________Relation to Child_________________________
Address ___________________________________________ City ______________________________
State _________Zip Code___________ Phone Number _______________________________________
Email Address ________________________________________________________________________
By providing your email address you give the Lane PTA permission to add you to our email listing that will include newsletters, event notifications and calendar updates. Lane PTA will not share your personal email with anyone.
PTA Use only
Rec’d by: ________
Date: ___________
Check #: _________
Amount: $________
LANE INTERMEDIATE SCHOOL PTA
MEMBERSHIP FORM
PTA is a group of people working together to make a difference in our students and their lives. We sponsor the Reading Program, Reflections Arts Program, assemblies, a field trips for every student, fun family events, a year end celebration, and so much more!! These events for your children cannot happen without your help!
Thank you in advance for joining Lane PTA. By becoming a member, you are supporting every child in our school whether through your member fee, time or a simply having a voice. No contribution is too small to make a difference in a child’s life. Your Membership does have the added benefits of discounted admission to all Lane PTA sponsored events, member discounts available on the National PTA website as well as the ability contribute input on PTA events. Also, your scholar will receive 1 Lane Buck when you join that they can use at a PTA sponsored event. (Remember memberships are tax deductible).
Questions? Email us at laneintermediapta@gmail.com
EARLY BIRD SPECIALS:
OFFERS EXPIRE 9/30
DISCOUNTED PRICE - $8 FOR SINGLE MEMBERSHIP OR $15 FOR COUPLE MEMBERSHIP
COMBO PACK AVAILABLE INCLUDES MEMBERSHIP & (1) LANE T-SHIRT:
$16 FOR SINGLE MEMBERSHIP OR $24 FOR COUPLE MEMBERSHIP
**YOUR CHILD’S CLASS HAS A CHANCE TO WIN A SPECIAL TREAT FOR MOST MEMBERSHIPS PER CLASSROOM. **
To join Lane PTA, return this completed form and membership payment.
Please note the price of Membership will go up after 9/30 to the normal price of $10 for Single and $16 for Couple.
Make checks Payable to: Lane Intermediate PTA
Students Name________________________________________________________________________
Student’s Core Teachers/Class ___________________ T-Shirt Size (Combo Pack Membership Only) ________
Person #1______________________________________Relation to Child_________________________
Address ___________________________________________ City ______________________________
State _________Zip Code___________ Phone Number _______________________________________
Email Address ________________________________________________________________________
Person #2______________________________________Relation to Child_________________________
Address ___________________________________________ City ______________________________
State _________Zip Code___________ Phone Number _______________________________________
Email Address ________________________________________________________________________
By providing your email address you give the Lane PTA permission to add you to our email listing that will include newsletters, event notifications and calendar updates. Lane PTA will not share your personal email with anyone.
PTA Use only
Rec’d by: ________
Date: ___________
Check #: _________
Amount: $________
