MEMBERSHIP FORM All personal information is used solely for Nebraska Society activities, information is never traded or sold. All memberships are fully tax deductible. Click here to download a pdf version of our Membership Form. Name*   Spouse   Address*     City   State   Zip Phone: (H)*   (O) E-mail*   Hometown   Maiden Name   (If applicable)   College/University   Occupation/Employer     * Required Fields Membership Categories     Senior or Student Membership 1 Year ($10)   2 Years ($15)     Individual Membership 1 Year ($20)   2 Years ($35)     Family Membership 1 Year ($30)   2 Years ($50)   Patron Membership ($100-$499)   Bronze Membership ($500-$999)   Silver Membership ($1,000-$2,499)   Gold Membership ($2,500-$4,999)   Platinum Membership ($5,000 and above) Please check here if you DO NOT want your information included in a Nebraska Society Directory. YES!  I would like to become more involved in the Nebraska Society by volunteering to help with the following event / activity:        Distinguished Nebraskan Award Dinner    Cherry Blossom Festivities        Taste of Nebraka     Nebraska Socials      Internship Program        Softball Tournament     Golf Tournament     Other:    OR

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