Online Member Registration Form

* Required

*Membership Type:
*First Name: *Last Name:
*Birth Date:
*Address:
*City/State/ZIP:
*Home Phone: *Mobile Phone:
*Email:
*Preferred Contact Method:
Student(s) Attending LHHS:
Grade
Grade
Grade
*Membership Package Option:
Select where You Would Like to Volunteer for the 2010-2011 school Year!
*Don't forget to pay your dues!
2010-2011 PTSA MEMBERSHIP OPTIONS

PTSA Basic Adult or Student Membership Package $10.00

  • 1 PTSA Membership
  • PTSA Notifications
  • PTSA Newsletters

Silver Membership $25.00

  • 1 Basic Membership Package
  • 1 Coupon Book - 2010
  • 1 PTSA Pen

Gold Membership $50.00

  • 1 Basic Membership Package
  • 1 Coupon Book - 2010
  • 1 PTSA Pen
  • 1 PTSA Pencil
  • 1 PTSA T-Shirt
  • 1 PTSA Pendent

Platinum Membership $75.00

  • 1 Basic Membership Package
  • 2 Coupon Book - 2010
  • 1 PTSA Pen
  • 1 PTSA Pencil
  • 1 PTSA T-Shirt
  • 1 PTSA Pendent
  • 1 Panther Car Magnet

Family Package #1 $45.00

  • 2 Basic Memberships Packages
  • 1 Coupon Book - 2010
  • 1 PTSA Pencil
  • 1 PTSA Pen
  • 2 PTSA Pendants

Family Package #2 $55

  • 3 Basic Memberships Packages
  • 1 Coupon Book - 2010
  • 1 Panther Car Magnet
  • 1 PTSA Pencil
  • 1 PTSA Pen
  • 2 PTSA Pendants

"ALL Student Memberships Come with a Panther Tattoo"