104 Agricultural Communications Building
University of Nebraska-Lincoln
Box 830918
Lincoln, Nebraska 68583-0918
Phone 402-472-2821 --- Fax 402-472-0025

Nebraska AgRelations Council - Membership Application

Count me in. I want to join Nebraska AgRelations Council and help build better understanding of agriculture in Nebraska and the United States.
Name:
Address:
(Apt./House No. - Rural Route - P.O. Box)
Spouse's Name:
City, State, Zip Code:
Home Phone:
Work Phone:
Fax:
E-mail:
Signature:
NAC Membership Dues
Individual Membership

______ $20.00 one year
______ $35.00 two year
______ $50.00 three year

Business and Corporate Membership

______ $125.00 annually

Make check payable to Nebraska AgRelations Council.

NAC Involvement
Your NAC membership will be even more effective and vital through your service on a committee. Please consider how your talents, interests and background could best serve agriculture and indicate a first and second preference below:

______ Awards
______ Publicity
______ Membership
______ Program
______ Ag in the Classroom
______ Please send more information about adding my name to the NAC Speakers Bureau.

To Join
Print and complete this application, enclose payment, and mail to the address listed at the top of this form. Thank you!

Return to NAC Main Page.