NorthernIllinois
TEJANO CULTURAL SOCIETY

2008-2009 Membership Application

T-Shirt Front
T-Shirt Back

Only one membership per application please.

Please make your check or money order payable to: Tejano Cultural Society
Mail to: P.O. Box 5824, Aurora, IL 60507
630-788-1051 (phone) --- 630-859 -1006(Fax)

Click here for a downloadable application

Just complete this form. Click on Submit when ready to send.

New or Renew

Please select type of membership:  Please choose size:
Family $75.00
Couple $50.00
Single $35.00
Teenager $25.00
  
 
Qty.Size:
Medium
Large
X-Large
XX Large

Each member receives a free T-Shirt. Please make your selection above.

Family memberships includes your teenage kids living at home (from 13-18 years old).

Couple Membership--please include both applicant and significant other's name.

Teenage membership must be signed by parent or guardian.

 Primary Applicants

Mr.
Mrs.
Ms.

 

 
*Teenagers (on family membership only)

*For Teenage membership only, parent or guardian must authorize by calling 630-851-3307 for details)

Address:
City:
State, Zip
Phone: (area code also)
Email Address:

Any comments? Your comments are appreciated!