Septa Membership Form

*Please Print Out Form And Follow The Directions Below*

Jericho SEPTA is an organization that does not fundraise.  The only source of income is that of its annual dues from membership, which is open to every family in the Jericho School district.  With the continued growth in membership we have been able to provide the community with quality speakers, monthly support groups for parents, and district scholarship contributions.  In order to be eligible to receive a SEPTA Scholarship, at least one member of a student's immediate family must be a member of SEPTA by January 31st, 2009.   National PTA endorsed the policy that families join SEPTA on a per person basis; parents and students are encouraged to each have their own membership. Yearly dues are $10.00 per person made payable to Jericho SEPTA. Please fill out the following form and send in to your child’s school, Attention: SEPTA. Or, you may mail to: SEPTA ...P.O. Box 169 Jericho, NY 11753.

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Name________________________________________ Telephone__________________

 

Additional family members to enroll____________________________________________

 

Address__________________________________Town_____________________Zip_________

 

Total amount enclosed: $___________________

 

Please list all schools your children are enrolled in (i.e. Seaman, High School, etc.)_________

 

I would be interested in getting involved in SEPTA_________________________________

 

To cut costs and avoid waste, SEPTA no longer routinely hands out membership cards. To receive a card, please contact the membership chairperson.