Join the McIntosh Trail Chapter #1535 of Phi Delta Kappa International
The Leading Association for Educators
Application for Chapter Affliliation 2011-2012
YES! I want to join the McIntosh Trail Chapter of Phi Delta Kappa International to stay
current and to advocate for public education.
Full Name (Last/First/Middle)____________________________
Home Mailing Address__________________________________
City/State/Zip_____________________________________
Phones (h)______________________(w)_____________
FAX_______________________E-mail____________________
School______________________________
School Address_______________________________________
City/State/Zip___________________________________
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PDK International Dues $70.00
Chapter Dues
$20.00
Initiation Dues
$ 5.00
______________________________
TOTAL:
$95.00
Membership begins with the applicant's complete application, receipt of check, and chapter's report to Phi Delta Kappa
International. Formal Chapter initiation will be scheduled at a planned meeting date.
Please mail this application and a check for $95.00 (payable to McIntosh Trail Chapter of PDK) to:
McIntosh Trail Chapter of PDK # 1535
c/o Tereasa Lynch
36 Sprayberry Road
Newnan, GA 30263
Nominating Kappan___________________________________________
Kappan E-mail_______________________________________________________
