Name:     
   Position:
   District:       School:  
   City:            Email:   
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Organization Dues Total
PSLA $10.00 $10.00
PASCD (Curriculum Directors) $10.00 $0.00
PCASE (Special Education) $15.00 $0.00
TASA (Superintendents) $10.00 $0.00
TASPA (School Personnel Administrators) $5.00 $0.00
TASSP (Secondary Principals) $5.00 $0.00
TEPSA (Elementary Principals) $5.00 $0.00
TASBO (Business Officials) $10.00 $0.00
PITA $5.00 $0.00
Total Due (Include PSLA Dues $10)

  (District will be billed)
mail to:
Region 16 ESC - PSLA
5800 Bell Street.
Amarillo, TX 79109
  
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