MEMORANDUM - GCAPT



GULF COAST

Association for Pupil Transportation

2019-2020



MEMBERSHIP REGISTRATION FORM

Annual dues are $30.00 per person for active members and $50.00 for vendors companies. Dues may be paid in person at the monthly chapter meetings, by PayPal or mailed to:

Jeffery S. Snedeker, GCAPT Chapter Treasurer/Secretary

P.O. Box 691928

Houston, TX 77269

Payment must be accompanied by this registration form!

Dues are considered delinquent if not paid by January 1, 2020.

* Required fields

* Name *Date

* District / Company

* Position Title

* Address

* City * State * Zip

* Office Phone * Fax

* Cell Phone

* E-mail Address

* TAPT Certification Number *TAPT Certification Level

* Payment Method: Cash _______PayPal + $1.00 processing fee

Check #___________ (personal / business)

PO #______________

PLEASE NOTE: GCAPT MEMBERSHIP DUES ARE SEPARATE FROM TAPT DUES! For information regarding TAPT membership, contact Marisa Weisinger at Marisa@.

DO NOT WRITE BELOW THIS LINE

Rec’d by Receipt # Date

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