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"2012-2013 Official National PTA Back To School Kit"
Registration Form
Form closes 11:59 p.m. EDT, Friday, September 14, 2012
Welcome, PTA leader
Please complete the following web form to register for delivery of the 2012-2013 Official National PTA Back to School Kit for your PTA.
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Indicates a required field.
PTA Information
IF THE PTA PRESIDENT NAME AND/OR ADDRESS IS INCORRECT, CLICK "SUBMIT" TO GO TO NEXT PAGE TO ENTER CORRECTED INFORMATION.
Instructions
: Enter PTA ID number then click verify button. You'll see the PTA address displayed. You'll be given the chance to update this shipping address on next page.
Complete all required fields.
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Unit ID
Unit Name
Name
Address
City
State
ZIP
Authorized Representative Information
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First name
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Last name
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PTA position
Local Unit President
Local Unit Vice President
Local Unit Treasurer
Local Unit Secretary
Local Unit Membership Chair
Council President
Council VP
Council Reflections
Council Legislation
Council Parlimentarian
Council Auditor
Council Treasurer
Council Secretary
Council Membership
District President
District Director
District VP
District Reflections
District Representative
District Legislation
District Parlimentarian
District Auditor
District Treasurer
District Secretary
District Membership
Region Director
Region VP
Region Reflections
Region Legislation
Region Parlimentarian
Region Auditor
Region Treasurer
Region Secretary
Region Membership
E-Mail address
By submitting the 2012-2013 Official National PTA Back to school Kit registration form, I attest that the information provided is accurate and correct.
Terms of Agreement:
I am a current officer of the PTA for which I am requesting the Official National PTA Back to School Kit, or have been elected as a 2012-2013 officer.
I understand that the Official National PTA Back to School Kit is for the use of my PTA for the 2012-2013 year and agree to ensure that it gets to the 2012-2013 PTA board of directors.
If you have any questions, please contact the PTA Information Center at (800) 307-4PTA (4782) or e-mail
info@pta.org
*
I Agree
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