Fillable ANNUAL MEMBERSHIP DUES (Gastos Annales) ALL-INCLUSIVE MEMBERSHIP (Todo (Chesapeake Public Schools)

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ANNUAL MEMBERSHIP DUES (Gastos Annales) ALL-INCLUSIVE MEMBERSHIP (Todo (Chesapeake Public Schools)

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ANNUAL MEMBERSHIP DUES (Gastos Annales)
ALL-INCLUSIVE MEMBERSHIP (Todo Incluido)
National, State, Local (Nacional, Estado, Local)
Member Name (Nombre del miembro) _____________________________________________________________________________________
Please circle: Male – Female AND Student – Faculty – Parent - Grandparent/Relative – Guardian - School Administrator - Supporter
Member Name (Nombre del miembro) _____________________________________________________________________________________
Please circle: Male – Female AND Student – Faculty – Parent - Grandparent/Relative – Guardian - School Administrator - Supporter
Member Name (Nombre del miembro) _____________________________________________________________________________________
Please circle: Male – Female AND Student – Faculty – Parent - Grandparent/Relative – Guardian - School Administrator - Supporter
Telephone (Número de teléfono)_______________________________ Email ______________________________________________________
Student Name (El Nombre del hijo): _____________________ Grade (Grado)_________ Teacher (Maestro/Maestra)________________
_____ Members at $_____ per Member ( _____Miembros a $ ______por Miembro) Amount Enclosed (Cantidad Incluido) $_________
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ANNUAL MEMBERSHIP DUES (Gastos Annales) ALL-INCLUSIVE MEMBERSHIP (Todo (Chesapeake Public Schools)

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Completed 23 March 2021

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