DELEGATE / ALTERNATE FORM

School year      2010-2011                              

 

School Information

School                                                  Address                                                           

Zip code                                               Telephone                                                        

Principal                                               FAX #                                                             

 

Please list information for the following: three (3) delegates and one (1) alternate

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                                         

 

 

Alternates:

1. Name                                                                         Title if any                 _______         

    Address                                                                      Email_                                               

    Zip code                                                                     Telephone                                          

 

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

Claudia Tedeschi Sheiman 122 Quinlan Avenue, Staten Island , NY 10314 or

Email at Claudiatedshe@aol.com

*********************************

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: