Choose Your Team
Event Planning
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Steele PTA Membership

Steele Elementary School PTA Membership Form
First Name:
Last Name:
Address:
City:
State: (ignore for non-US transactions)
Zip Code:
Country:
Email Address:
Confirm Email Address:
Preferred Phone:
Title (optional):
Organization (optional):
Credit Card Billing Address
 
 If the address where you receive the credit card bill is different than above, please enter it here.
Address:
City:
State:
Zip Code:
 

Child/Children
Classrooms
Please choose your membership below:
Charge Amount:
$10.00 Parent/Community Member
$6.00 Facutly/Staff/Student Member
Pay by Credit Card  
Card Type:
Credit Card Number:
Credit Card Expiration (mm/yy): /
Name On Card:
C V V Value:
 
Building A Community of Steele