Membership Form

To submit your membership by mail, click here to open a printable form and submit it, along with your check, to the address below.

Make checks payable to: Iowans for Nebraska
Mail checks to: Iowans for Nebraska, 4818 65th St, Urbandale, IA 50322

Name:

For family memberships:
Spouse Name:

Street Address:

City: State: Zip Code:

E-mail Address:

Nebraska Alumni Association Member Number (if applicable):

Primary Contact Telephone Number:

UNL Graduate? Class Year:

Indicate all Topics for which you'd like more information:
Social Activities Committee
Service Activities Committee
Membership Committee
Communications Committee
Business Owner Partnership Program (Offer discounts to Chapter Members)
Special Scholarship Donation