Click here for the full-size, printer-friendly
2008-2009 Membership Form.
It would be helpful if you print the membership form, fill it out, and then bring it to the Back to School fair on August 5th at 6:30. You may also mail it to Donna Snyder, PCHEA's secretary. If you need her mailing address, just email and I'll send it to you.
If you have trouble opening the membership form, please email me
and I will help. Ruth
pcheainfo(at)gmail(dot)com
PCHEA Membership Form
2008-2009 School Year
The annual membership fee is $10.00 per family. If you want a printed copy of the newsletter by mail, an additional $5.00 is required.
Name: ____________________________________________________________________________________
Spouse: ___________________________________________________________________________________
Mailing Address: _____________________________________________________________________________
City, State & Zip: ____________________________________________________________________________
Phone: ____________________________________________________________________________________
Children’s names and grades: __________________________________________________________________
__________________________________________________________________________________________
E-mail address: _______________________________________________________
We must have an e-mail address for subscription to PCHEAGroup and e-mail version of newsletter.
Our family agrees to uphold the PCHEA Code of Conduct while attending all PCHEA activities.
__________________________________________________________________________________________
Signature of responsible adult and the date
The following information is considered optional.
Curriculum: ________________________________________________________________________________
Children’s hobbies: __________________________________________________________________________
_________________________________________________________________________________________
Years experience in homeschooling: __________________
Membership dues paid: cash or check #_____ Total $_____
Please circle one:
I prefer to receive the PCHEA newsletter via: e-mail or printed copy by mail.
**We must have an e-mail address for the e-mail copy.
To receive the newsletter by mail an additional $5 is required for this service.
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