HUSKERLAND 2008 DUES FORM

Club Dues - Mailed by Feb. 1, 2008	$40
Club Dues - Mailed by Mar. 1, 2008	$60
Club Dues - Mailed by Mar. 15, 2008	$80

CLUB___________________DIRECTOR____________________

ADDRESS________________CITY____________, NE  ZIP_________

HOME PHONE (____)_____-________

OPTIONAL INFORMATION:

FAX #   (____)_____-________   

WORK #  (____)_____-________

CELL #  (____)_____-________  
 
E-MAIL  ____________________


APPROXIMATE NUMBER OF WRESTLERS IN YOUR CLUB _____

MAKE CHECKS TO: Huskerland Wrestling
Send To:
Bobbi Hall - 
1010 SW 21St St Ct 
Lincoln NE 68522 

*** ITEMS BELOW FOR HUSKERLAND OFFICE USE ONLY ***
Date of Postmark __-___- ___
Amount of Check $_____ Check # _______