MEMBERSHIP
____ New Membership
____ Renewal
____ Gift Membership
VALUE
____ Individual: $40 per year, save $10 on a 2-year membership, $70.
____ Household: $55 per year (2 adults and children under 18) save $10 on a 2-year membership, $100.
____ Contributing: $100 per year
____ Supporting: $250 per year
____ Sustaining: $500 per year
____ Founder: $1000 per year
Name _______________________________________________________
Address ______________________________________________________
City _________________________________ State _________________ Country _________
Postal Code (Zip) ______________________
Telephone (day) __________________________ (evening) ____________________________
Email _______________________________________________
____ In addition to my membership indicated above, I am also enclosing a tax deductible
donation of $_____________
SEND A GIFT MEMBERSHIP TO:
Name _______________________________________________________
Address ______________________________________________________
City _________________________________ State _________________ Country _________
Postal Code (Zip) ______________________
Email _______________________________________________
Join now. You can include payment by check or money order, or use the credit card form below.
Please print out the mail-in enrollment form, fill it in, and send it via regular mail.Form of payment:
____ Payment Enclosed
____ Mastercard ____Visa
Expiration Date ____________________________
Card # ___________________________________
Signature _________________________________
Do you want to know more about membership or services offered by the Society?
- Call 402-471-3272
Call toll-free 1-800-833-6747
FAX 402-471-3100
Attn: Membership Coordinator
1500 R Street
PO Box 82554
Lincoln, NE 68501-2554
Trouble printing? Download a Membership Application Form in PDF format.