Would you like to become a member of the Northeast Kansans for the Nebraska Cornhuskers? You can recieve all of the benefits of membership by filling out the application and sending it to us.
Northeast Kansans for Nebraska Membership Form
Name: _______________________________(Spouse)_______________________________
Address: ____________________________________________________________________
City: ___________________________ State: _________ Zip: __________________________
Home Phone: (_________)______________________________________________________
*Email Address: _______________________________________________________________
*Occupation/ Employer:________________________(Spouse)___________________________
*Work Phone: (_________) ______________________(______)_________________________
*Cell phone: (_________) ______________________(______)_________________________
Hometown: _________________________________(Spouse)___________________________
Class of: ________________________________________________________ (if NU graduate)
*We would like this information to be able to contact you. Please indicate if you do not want this information listed in the membership directory.
Enclose check to Northeast Kansans for Nebraska for $17.00 or only $15.00 if you’re a UNL Alumni Association member and mail to:
Bob Elliott
3405 SW Atwood Avenue
Topeka, KS 66614