Burlington High School PTSO Membership Form 2010-2011
Membership Dues: $10/Year/Family
Parents'/Guardians' Names____________________________
Address __________________________________________
Student Name ______________________________ Grade ___
Student Name ______________________________ Grade ____
Student Name _____________________________ Grade ____
Please print and send this form to:
Burlington High School
123 Cambridge Street
Burlington, MA 01803
Attn: BHS PTSO Treasurer Diane Rose
Please make checks payable to: BHS PTSO
