EISENHOWER HS PTSA

Membership/Donation
 & Information Signup Form

o         Standard Membership                                                                         $12.00 

o    Additional Contribution                                                                               _______ 

o    Community or Other Contribution, not voting member                   _______ 

o    Cannot join at this time but please keep me informed on your activities. 

                                       Total                                _______ 

Name___________________________________ 

Address_________________________________ 

Email___________________________________ 

Phone#__________________________________ 

Preferred method of Contact (Circle One): 

                 Mail     Phone    Email 

Name___________________________________ 

Address_________________________________ 

Email___________________________________ 

Phone#__________________________________ 

Preferred method of Contact (Circle One): 

                 Mail      Phone     Email 

Please make checks payable to Eisenhower PTSA and turn in with completed form to the Eisenhower main office, Office Manager.   You may also mail to:

                            PTSA Membership, PO Box 585, Yakima, WA 98907