Booster Club and/or Advertiser includes your Individual/Couple Membership

(Your) Last Name: _______________________ First: ____________________
(Spouse/Other) Last Name: _______________________ First: ____________________
 

Please fill out all info: (We need to update your current address, phone, and email info) Thanks.

Address: _______________________________________________________________________
City: ___________________________ State: _____ ZIP: ____________
Telephone: ____________ Cell: ____________ E-mail address: ________________________
 

FOR ALL MEMBERS: PLEASE UPDATE this section for the current Club Year:

Member of the U. of Nebraska Alumni Association? Yes ___ No ___  If yes, Annual___ or Lifetime___

I/We would volunteer to assist with the fund-raising (raffle ticket sales and tee-shirt sales) at a Huskers TV game at Bentley's Bar.  The proceeds benefit our Scholarship program for Las Vegas students that attend college in Nebraska. Also, our local charitable contributions including Operation School Bell.