2007-2008 New PTA President

2008-2009 New PTA President’s Form

Please complete this form as soon as possible after your election even if officers are re-elected to another term. Print a copy, then click the submit button to send the information to PCCPTA. To print your copy: go to File, then click Print.

If you get an error or do not receive a confirmation email within 48 hours, you will need to mail the form. Mail to:

Charles Derexson
10800 US 19 North #116
Pinellas Park, FL 33782

School Name:

PTA PTSA

President's Name:

President's Address:

President's City:

President's Zip Code:

President's Phone #:

President's Email:

Yes, my name & phone number can be given to the press for interview purposes.

No, do not give my name/phone number to the press.

Yes, my name & email address can be given to Pinellas County Schools.

No, do not give my information to Pinellas County Schools.

Treasurer's Name:

Treasurer's Address:

Treasurer's City:

Treasurer's Zip Code:

Treasurer's Phone #:

Treasurer's Email:

2008-2009 New PTA President’s Form
Please complete this form as soon as possible after your election even if officers are re-elected to another term. Print a copy, then click the submit button to send the information to PCCPTA. To print your copy: go to File, then click Print. If you get an error or do not receive a confirmation email within 48 hours, you will need to mail the form. Mail to:
	Charles Derexson 10800 US 19 North #116 Pinellas Park, FL 33782

School Name:
PTA PTSA
President's Name:
President's Address:
President's City:
President's Zip Code:
President's Phone #:
President's Email:
		Yes, my name & phone number can be given to the press for interview purposes. No, do not give my name/phone number to the press.

		Yes, my name & email address can be given to Pinellas County Schools. No, do not give my information to Pinellas County Schools.
Treasurer's Name:
Treasurer's Address:
Treasurer's City:
Treasurer's Zip Code:
Treasurer's Phone #:
Treasurer's Email: