$10 per person

Due the first of every year



____ Renewal______New member


____________________________________________________________
Town(s) in NE that you would like to appear on your name tag 
Name badges come magnetic_____ or pin_____


Name(s)_____________________________________



Address:_______________________________________

Zip:______________


Phone:________________________________________


 E-mail:_________________________________________

 
Make checks payable to Grand Huskers.


Mail to:   John Francis
                16235 W. Mountain Pass Dr.
                Surprise, AZ 85374
                Phone 544-8451