State Tejano Democrats Membership Roster Form.xlsx

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1	2026-2027 State Tejano Democrats Membership Roster								Chapter Name				County				TEC Number
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3	New or Renewal	Prefix	First Name	Middle Name	Last Name	Suffix	Title	Home Address	City	State	Zip	Voter Registration #	Home Phone	Cellular Phone	Work Phone	Email	Date Received	Senate District	Chapter	Dues
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28	______________________(Chapter Treasurer) hereby certify that the names and information on this roster are true and correct and that full payment of the $15.00
29	State Dues were made.
30	Officer Signature_________________________________________ Date______________________________ Phone(______) _________________
31	An electronic file is NOW REQUIRED and it must be included with your submission.
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