Membership
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Name (Individual)
__________________________________________
Address
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City, State Zip Code
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Phone Number
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Organization represented
MEMBERSHIP
___ Organizational Fee $60.00 (up to three members)
___ Individual Fee $25.00
___ Unable to participate, but
would like to make a donation
to the coalition. Amt. _______
Make check payable to Galveston County Teen Parenting
Coalition:
Galveston County Teen Parenting Coalition
Attention: Treasurer
P.O. Box 2225
Texas City, TX 77592-2225
The Galveston County Teen Parenting Coalition Scholarship drive will
provide area scholarships to graduating seniors within the county.
The Galveston County Teen Parenting Coalition Scholarship drive will provide area scholarships to
graduating seniors within the county.
____ $25 Bronze Star Patron
____ $50 Silver Star Patron
____ $75 Gold Star Patron
____ $100 Platinum Star Patron