2010-2011 Members_Redacted 2010 LUI.Ar _%1NCIL. MEMBERSHIP ROSTER Council Number L4'a IAV EIN NUMBER 9 l-Act IQ-1 10
! I , National
Name(indicate council office and Home Address City/State Lip Home Work TFaK I Email Mem• Initiat Annual
Mr.,Ms.,Mrs.,etc.) _ i Telephone Telephone Since Fee•• Dues
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Note: Type or print all information for each member�Home address for each member with city.state and zip code are required. Identify the Officers: }
P-President,VP-Vice President,etc. Annual National Dues are$15.00 per member. •• All new members or those not in good standing for the Subtotal ��7
previous year pay a$6.00 initiation fee or pay back dues for the previous year. State and District Dues are paid to the State and/or District Directors. Annual 875.00
All charter/membership dues and the current roster are due on January 1 and must be received in the LULAC National Office by February 28,2010. Charter
1 Enter the year the member joined LULAC in the"Member Since"column. Make as many copies as are necessary to list all council members. Total Dues 3`>42-
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2010LUi COUNCIL MEMRERSHI?ROSTER(ADDITIONALPAGE) ounc:: Number ` su(I
National
Name(indicate council office and Home Address City/State Zip Home Work Fax I Email Mem'1 Initiat Annual
N1r.,Ms.,Mrs.,etc,) Telephone Telephone Since I Fee'• Dues
M`.
_I
I
10 - — ---- �- - -- -- -- _ _ ..... -- - •�— ---
14
i
[is — — —
16
I
19
20 It Z•00 --Oct