Reservation deadline: Monday July 20th
Kansas Cornhusker Club Reservation Form
_____ Yes! I/We will attend the picnic.
_____ No, I cannot attend, but please keep me informed of
upcoming club events.
Note: Preregister
for 2009 membership and Alumni Association. Avoid waiting lines.
_____ Please establish/renew my/our membership in the
Kansas Cornhusker Club.
Make checks
payable to: Kansas
Cornhusker Club
2009
Club dues are as follows:
Enclosed is
______ $25 - Family
membership _______
$20- Single Membership
Name(s):________________________________________________________________________________
Children’s
Names_________________________________________________________________________
Address:_____________________________________City:_________________________Zip:__________
Home town:
____________________________________________Year of graduation: _______________
Send check
payable to Kansas Cornhusker Club to Kevin Meyer 519 E. Marion Rd, Apt. # 312, Wichita,
Ks. 67216
Application Form for Joining Nebraska Alumni
Association WIC
Name_________________________________________________ Email _______________________________
Address___________________________________________________City
______________________________
Phone
#__________________________
Annual
individual dues - $50
Life $1,000 Installment $230/yr.-5 yrs
Couple dues - $60
Life $1,250 Installment $290/yr- 5 yrs
Senior $40 Couple
$50
Life
–Senior (65 years plus) $450
Life – Couple “ “ “ $550
Please make
separate check payable to Nebraska Alumni Association
Mail to:
Nebraska Alumni Association P.O. Box 80129
Lincoln NE 68501-0129