DELEGATE / ALTERNATE FORM

School year      2008-2009                              

School Information

School                                                  Address                                                           

Zip code                                               Telephone                                                        

Principal                                               FAX #                                                             

Please list information for the following: four (4) delegates and two (2) alternates

to attend the S.I. Federation of P.T.A.s Delegate Meetings.

Delegates:

1. Name                                               ________           Title if any                                       

    Address                                            _______            Email                                                 

    Zip code                                                                     Telephone                                          

 2. Name                                              ______                          Title if any   ______                         

    Address                                                        __           Email ________                               

    Zip code                                                                     Telephone                                          

3. Name                                                                         Title if any    ________                   

    Address                                                                       Email                                                

    Zip code                                                                      Telephone                                         

4. Name                                                                          Title if any    _______                     

    Address                                                                       Email             ________                   

    Zip code                                                                      Telephone                                         

Alternates:

1. Name                                                                         Title if any                 _______         

    Address                                                                      Email_                                               

    Zip code                                                                     Telephone                                          

2. Name                                                                          Title if any____                               

    Address                                                                        Email                                               

    Zip code                                                                       Telephone                                        

Please keep original and send a copy to S.I. Federation of PTAs Corresponding Secretary

Michelle Ericksen, 161 Holly Avenue, Staten Island , NY 10308 or

Email at Mishy102@aol.com

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New Relay Form

Please cut and paste the below acceptance letter into another e-mail so that you may continue to receive communication e-mails from SIFPTA.

E-mail to SIFPTADelegate@aol.com

                                                    Acceptance Letter

____________________________________________________________

I am in receipt of the Delegate communication relay letter and wish to be put on the SIFPTA Relay communication list. I can be emailed at:

Name:

E-mails address:

School affiliation:

Position you hold:

 _______________________________________________________________________________