Join the Texas PTA Centennial Club!

Thanks so much for supporting Texas PTA - the largest child advocacy association in our state.

Please complete this form to join the Centennial Club by credit card (Visa, Mastercard or Discover only please). To join by check, please print and complete this form and remit it to to Texas PTA, 408 W. 11th St., Austin, TX 78701-2113. Membership costs a one-time fee of $100.

Credit Card Information

* Credit Card Number (Visa/MC/Discover only)

* Expiration Date

* Name on card

* Daytime Telephone

* Billing Address

* City

* Zip

Email address

Mailing Address (if different from above)

Mail to:

Address

City

Zip

Member Name

Name of member (if different from name on credit card)

Thank you for supporting the Texas PTA Centennial!

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