Please print and send applications to:
South Texas Conjunto Association
c/o Lupe Saenz, President
308 West Delma St., Weslaco, TX 78596
Date:________/_________/____________
Name:______________________________________
Address:_______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
City:______________________________________
Phone: (______) ________________________________________
Referred by:_________________________________________
Membership Dues:
Singles:$20.00
Couple:$30.00
Family:$40.00
Student:$15.00
Conjunto:$50.00
Orchestral Tejana:$50.00
Corporation:$100.00
Name of Group:________________________________
Contact Person:_______________________________
Address:_______________________________________________________________
City:______________________________________
Booking Agency or Phone#:_________________________________________