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Get CA PTA Unit Remittance Form 2014-2021

Unit Address ______________________________________________________ City/Zip ___________________ Council __________________________________________________________ District PTA ________________ Total membership on this report: ___________________________________ DESCRIPTION AMOUNT Membership dues: # _________ @ $ __________ 4.75 (Council, district, State, National PTA portions) $ Insurance Premium (through channels to State PTA by 12/20) Late Charge Insurance (assessed by State PTA if after.

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