To sign-up for a Tekoppel PTA membership, please print this page, fill out completely,

and return it to Tekoppel School along with your membership fee(s).

TEKOPPEL PTA MEMBERSHIP

Name(s) on card:__________________________________________________________

E-mail:________________________________________________________

Childs Name:________________________________________________________

Homeroom Teacher:______________________________________________________

$5.00 per membership

Amount enclosed:$_____________________________________________________

Payment :                              Cash$__________     or     Check #____________