Send us information, comments, register for membership and/or sign our guestbook. = (Mandenos informacion, comentatios, firme nuestro libro electronico o registrese en LULAC.)

Name:
Email:
HomePage:
Where are you from:
Comments:

Universal membership application form = (Forma universal para aplicar para membrecia.):
--------------------------------------------------------------------------------------------------------------
League of the United Latin American Citizens
LULAC Est. 1929

National Office Adult Council Application for Membership
(Aplicacion para Miembresia)

TEXAS, DISTRICT XXI
Box 150001
Arlington TX 76015
(817) 467-3087

Council No. ________________________________ League of the United Latin American Citizens.
(Consilio) City, State (Ciudad, Estado) (Liga de Ciudadanos Latino Americanos Unidos)

I, the undersigned, herby most respectfully make application to become a member of your league and hereby state that I have read and wholeheartedly subscribe to you aims and purposes, your code, and your constitution. I have complied with the instructions herein contained and on my honor, I certify to the correctness of the answers below :

this ________ day of __________________ ,__________AD.
Month (Mes) Year (AD)

Full Name: ____________________________________________________________________________
Nombre Completo Last First Middle

Home Address:_________________________________________________________________________
Domicilio Street Apt. No.

_________________________________________________________________________
City (Ciudad) ZIP-Code (Codigo)

Phone: H ( ) W ( ) ____________________________
Telefono Casa Trabajo

E-Mail: _________________________________________________________________________
Domicilio Internet

Occupation: _________________________________________________________________________

Hobbies: _________________________________________________________________________
Pasatiempos

Reason for joining LULAC: _______________________________________________________________
Rason por querer pertenecer

Member of other Clubs/Organizations: ______________________________________________________
Miembresia en Otras Organizaciones

Signature of Applicant: __________________________________________________________________
Firma

We, the undersigned members in good standing of the LULAC Organization certify that we are personally aquainted with the applicant and know, to the best of our knowledge and belief, that he/she is the person of moral character and worthy of being a member of this league and we further certify that the answers to the foregoing application are true and correct.

Signature of Member _________________________ Signature of Member _______________________________

Membership Fee: $ 25.00 annually ____________________ _______________________________
Amount Paid Date Paid
NATIONAL: www.LULAC.org

STATE of TEXAS: www.TexasLULAC.org
--------------------------------------------------------------------------------------------------------