Join the 2009-2010
Space Center Intermediate School PTA
Membership Dues are $8.00 Per Person
THANK YOU to over 300 people that have already joined
the SCIS PTA! We appreciate your support!
If you would still like to be a member of PTA, please use this form and join
One of the many benefits of membership in the SCIS PTA includes staying
informed by receiving the electronic newsletter,
“SYNC UP WITH SPACE CENTER” via your email!
Membership is open to parents, grandparents, neighbors, friends, and businesses.
Anyone over age 14 can join!
Full Names of Those Joining the PTA:
Name:________________________________ Name: ________________________________
Email:________________________________ Email: ________________________________
[ ] Check if Life Member [ ] Check if Life Member
1. ____________________________________ 2.___________________________________
Grade: _________________________________ Grade:_______________________________
4th Period Teacher: _______________________ 4th Period Teacher:_____________________
Dues: $8.00 per person
Number joining: __________
Amount Paid: $ __________
Please make checks payable to SCIS PTA, place in envelope with this form,
and return to your child’s 4th period teacher.