Member’s Name_______________________________________

Address_______________________________________________

Phone (Home)                                       (Work)

If you want to join our Yahoo email group for timely information and important updates, please give us your email address:

Your email address is confidential and will only be used for school related information.

Name(s) and grade(s) of student(s)

            Sponsor Levels: All membership levels include a thank you incentive.

DUES ARE TAX DEDUCTIBLE

Individual ($10.00) ___

          Family Membership ($25.00)___

          [Up to 3 family members—at least one student]

FOR FAMILY MEMBERSHIP, ADD ADDITIONAL NAMES:

Last Name                                      First Name

EMAIL ADDRESS:_______________________________

Last Name                                      First Name

EMAIL ADDRESS:______________________________________

          Panther Member ($35.00) ___           

          Scholar Member ($50.00) ___                    

Blue Ribbon Member ($100.00) ___   

Please complete form and give to any PTSA representative or drop off in the main office or mail to the following address:

Annapolis High School

c/o PTSA

2700 Riva Road

Annapolis, MD 21401