Please fill out the membership application below and PRINT it using your browser's Print command, located under the File menu. Then, mail it, along with your check made payable to Masco PAC Membership, to: Masconomet PAC, 20 Endicott Road, Topsfield, MA 01983.

Name, Address & Phone:
Last:     Father:     Mother:
Street:     Town:     Zip:     Phone:

Student Names and Grades:
Name:   Grade:     Name:   Grade:
Name:   Grade:     Name:   Grade:

Newsletter:
Send newsletters by email to
Send newsletter to this email address also

Grade-level volunteer opportunities I would like to learn more about:
If interested in volunteering for grade-level activites, select one or more grades below:
Grade 7    Grade 8    Grade 9    Grade 10    Grade 11    Grade 12

Volunteer:
If interested in volunteering, select one or more from the below:
Chaperone    PAC Newsletter    Administrative Assistance    Library Volunteer
Teacher Appreciation Activities    Membership Drive Assistance
Special Event Coordination    Publicity    Hospitality Events

Other (please list -->)

Optional Contribution:
I/We would like to support the PAC with a contribution in the amount of: $

PAC School Directory:
I/We would prefer that my/our information is not listed in the PAC School Directory.