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South Texas Conjunto Association, Inc.
2004 Membership Application

Please 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:$15.00
Couple:$25.00
Family:$30.00
Student:$10.00
Conjunto:$40.00
Orchestral Tejana:$50.00
Corporation:$100.00



Musical Groups Only:

Name of Group:________________________________

Contact Person:_______________________________

Address:_______________________________________________________________

City:______________________________________

Booking Agency or Phone#:_________________________________________