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PTA Membership Form

Join the PTA Membership/ Fair Share Drive today!
100% Participation is our Goal!
Currently we are only at 20%!
To make it easier, we have a form that you can detach below.  You can give it to your teacher, drop it off at the office, or mail it to the school at
425 Barneson Ave., San Mateo, Ca 94402.
Or you can donate online at
http://www.smfc.k12.ca.us/borel

Thank you.  Every membership makes a difference………...
Questions? Just ask Jennifer Tietz at  This e-mail address is being protected from spambots. You need JavaScript enabled to view it .
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Yes!   we would like to participate in the Borel FAIR SHARE / PTA Membership Drive:

Fair Share per student :                                                                                                   $350
Fair Share per extra Sibling(s)                                                                                        $175
Fair Share Plus:  Additional Donation                                                                              $
Other Donation:                                                                                                                $
Total Pledge for the Year:                                                                                       $   ________

(*Donors at Fair Share Level and higher will be automatically entered in the Prize Drawings.  See Insert!)

Name:____________________________________________( As you wish your name to appear in print).
Student(s) Name:_________________________________________
Address:_____________________________________________________________________
Phone: ____________________________Email:_____________________________________
____Full Amount Enclosed.   Check #______ (Payable to Borel PTA).
____Auctionpay Option- New This Year/ You can donate online using this link: www.smfc.k12.ca.us/borel.  Click on “Auctionpay.”
___Visa ___MasterCard : Number____________________________________Exp. Date:___________
Signature:________________________________(required for credit card). Amt. to be charged:__________
My employer’s Company Name:__________________________Contribution Amount:_____________
Name of PTA Member(s): _______________________________________Anonymous Donation  _________

($6 per member of your donation will be designated to National PTA).