Membership Dues Submission

Use this form to submit your membership dues online. You MUST pay with PayPal if you are using this online form. To pay by check, please download our [ fillable PDF here] and mail the completed form with your check to our office.

Unit Membership Dues are collected monthly on the 1st of every month.

Name of PTA/PTSA/SEPTA Unit*

President

Name*

Home Address, City and Zip Code*

Phone*

###

####

Email*

Treasurer

Name*

Phone*

###

####

Email*

Secretary

Name*

Phone*

###

####

Email*

Individual Membership Dues: National $2.25 + State $2.00 = $4.25 each

Student Members

Staff/Teachers

Parent Members

Other Member

Number of Individual Memberships

Amount Due for Individual Memberships

Business Member Dues: National $2.25 + State $3.25 = $5.50 each

Number of Business Memberships

Amount Due for Business Memberships

Donations to Missouri PTA

Founder's Gift

Missouri PTA Scholarship Fund

Summary: Total Amount Due to Missouri PTA

Amount Due for Individual Memberships$0

Amount Due for Business Memberships$0

Founder's Gift

Missouri PTA Scholarship Fund

Grand Total

Submit