June 1, 2006 Invoice # 060106
Annual Parent Advisory Council Membership Dues
Membership options-check one O 1 year = $ 190.00
O 2 years= $ 350.00
O 3 years= $ 530.00
Annual membership in Masspac covers the period from July 1 through June 30. Renew now to maximize membership benefits. Dues cover standard overhead costs, an extensive member resource package, PAC Training Institutes, In-District workshops, lending library access, disability awareness resources, educator/appreciation awards, discounts on publications, newsletter, e-news updates, access to the website and list serve. The PAC member package changes each year to provide new materials for an expanding resource library to benefit parents, families, students and staff.
Institution purchase orders must be addressed to:
MASSPAC ♦ PO Box 167 ♦ Sharon, MA 02067
Payment for membership is due within 30 days of receipt of invoice generated by a completed application form and accompanying purchase order or check. Thank you for your support and PAC membership to Masspac.
Please mail applications with purchase orders. Do not fax.
Credit card payments accepted via internet at www.paypal.com. Email recipient: info@masspac.org
Type of Application: _____New _____Renewal
Data required:
1). School District (specify if regional, charter or vocational)______________________________________________________
School District Address______________________________________________Superintendent______________________
Special Ed Director ___________________________________Phone___________________Website:_________________
Parent Contact ___________________________________Title_________________________________
Address _________________________________Town/City___________________State/Zip _________
Phone _______________________Email _______________________________Fax________________
3). Member package shipping information (will be shipped in September 2006)
Name_______________________________Shipping address:_______________________________________________
_________________________________________________________________________________________________