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Membership Form

Please complete your information for the Nebraska Association of Student Councils by October 1st. When you are finished, please print the form, hit submit and then send your payment to:

Nebraska Association of Student Councils
PO Box 4069
Omaha, NE 68104-4069

Or you can pay online with your credit card information.

Membership Information

NASC Membership *REQUIRED*

High School $50
Middle School $20
Combined 6-12 $70

School Information

School Name *REQUIRED*

Address (Line 1) *REQUIRED*

Address (Line 2)

City *REQUIRED*

State *REQUIRED*

ZIP Code

School Size *REQUIRED*

NASC District *REQUIRED*

County

If district is unknown, what county is your school located in?

Advisor Information

Advisor One First Name *REQUIRED*

Advisor One Last Name *REQUIRED*

E-mail Address *REQUIRED*

Number of Years as Advisor *REQUIRED*

Advisor Two First Name

Advisor Two Last Name

Advisor Two E-mail

Number of Years as Advisor

President's Information

President's Name *REQUIRED*

President's E-mail *REQUIRED*

Payment Information

Payment Option *REQUIRED*

Pay Online
Send Payment