2014-2015 Pioneer Eagles PTA Membership Form

Membership dues for the year are $8.00 per member. Moms, dads,
grandparents, family, community, and even students are encouraged to
join and support our Pioneer schools. Dont forget, PTA members receive
exclusive money saving benefits from our participating vendors such as:
T-Mobile, Hertz, Office Max, Sharp, and more!
Please fill out and return this form with membership dues payment in an
envelope marked PTA MEMBERSHIP to your childs teacher. If you have
any questions regarding membership, please email
PioneerEaglesPTA@yahoo.com
Member 1) Name: __________________________________ E-mail Address*:
_________________________________
Address: __________________________________________ Phone Number:
__________________________________
Member 2) Name: __________________________________ E-mail Address*:
_________________________________
Address: __________________________________________ Phone Number:
__________________________________
Member 3) Name: __________________________________ E-mail Address*:
_________________________________
Address: __________________________________________ Phone Number:
__________________________________
*Including your email automatically includes you in the PTA email list. Your email is not shared.
Total number of members: __________ x $8.00 = $ ___________ Total Due PTA (Make checks payable to
Pioneer PTA)
Please send my membership card(s) home with:
Childs Name: ________________________________ Grade: ______ Teacher: ______________________