PTA MEMBERSHIP FORM
Parent/Guardian Name(s)
Telephone #
Address
E-mail
Child’s Name
Grade
Teacher
Child’s Name
Grade
Teacher
Select type of membership: __Individual ($10) __Family ($20; 2 cards)
Please make checks payable to “Rock View PTA” and return this form with your payment in a sealed
envelope marked “PTA Membership”.
Your membership card(s) will be mailed to you.
OPTIONAL DONATIONS
The Rock View PTA strives to keep the cost of membership affordable for Rock View families. The $10
dues are distributed to National PTA ($2.25), Maryland PTA ($2.00), and Montgomery County Council of
PTAs ($1.00), leaving $4.75 for Rock View PTA activities.
Additional contributions to the Rock View PTA are always welcome and are tax-deductible. Optional
contributions can be included in your check for membership dues.
$10 __
$20 __
$30 __
$40 __
$50 __
$ ___
GROCERY CARD FUNDRAI SING
Your regular grocery shopping can earn money for Rock View at no cost to you.
Please enter the number(s) on your Safeway, Giant, and/or Harris Teeter cards and PTA volunteers will
automatically register your cards so that Rock View Elementary benefits.
Giant
Safeway
Harris Teeter