NACOGDOCHES HIGH SCHOOL DECA 2016-2017 Membership Application Last Name ________________________________________________ First Name________________________________________________ Student ID _______________ E-Mail ________________________________ Cell Phone _______________________ Years in DECA (starting in 9th grade) ___________ 2016-2017 Grade Level_____________ Home Phone ______________________________________________________________ Street Address ______________________________ City____________ Zip Code ________ Parent/Guardian Information Last Name_____________________ First Name _________________ Relation __________ E-Mail ________________________Cell ______________ Other Contact______________ DECA Dues: Members $30.00 Officers $20.00 You may pay by cash or check ***Checks are made out to NHS DECA Select Your Adult T-Shirt Size: Small Medium Large Extra Large XXL DUES INCLUDE: NHS DECA t-shirt, national and state DECA registration fees YES I WANT TO JOIN DECA AND AM INCLUDING $________ FOR DECA DUES. Student Signature: _________________________________ Date: ____________ Please see the DECA board in the 300 hall, (#310) and the DECA Remind for chapter meeting dates and reminders. If you are interested in becoming a DECA Officer, please complete a separate officer application by May 13, 2016. DECA Officer Use Below Line Amount Paid $__________________ to ___________________ by: cash check date:_________________ T-shirt given: yes no Size: _______ by:_____________________________________ Receipted by_______________________ on______________________ Receipt Number:_____________________