Wm. S James Elementary School
1 Laurentum Pkwy,
Abingdon, MD 21009
410-638-3900
2023-2024 PTA Membership
Form
o Family Membership (2 adults)- $20
o Individual Membership - $15
o Teacher/Staff Membership - $10
o Donation - $___________
Two easy ways to sign up to be a PTA
Member:
∙ Sign up online at: https://wsjepta.memberhub.com/store. A credit card
convenience fee will apply. ∙ Fill in the information below and return to your child’s teacher
with cash or check payment. Please make checks payable to: William S. James
PTA
Adult #1: ______________________________________Address: _____________________________________ Email:____________________________
Home phone number: _____________________________________ Cell Phone Number: _______________________________________
Adult #2: ______________________________________Address:______________________________________Email:_____________________________
Home Phone Number: ______________________________________ Cell Phone Number: ________________________________________________
Child's Name: _______________________________________________ Teacher's Name: _____________________________________________
Child's Name: __________________________________________________ Teacher's Name: ___________________________________________
Please check all that apply.
o I am interested in updates from PTA.
o I would like to volunteer to help with events.
Please email me as needed.
o I am do not wish to receive any emails at this
time.
_____________________________________________________________________________
**William S. James PTA Treasurer/Membership Chair Use Only**
Date:_____________
Received By:__________