Membership Form - Nebraska Cattlemen

Applicant Information

Name*

First Last

Business Name*

Phone*

Email*

Mailing Address

Street Address City State ZIP Code

Recruited by*

Local Affiliate*

Type of Membership*

Council Member

Which Council*

Cow/Calf Council
Farmer/Stockman
Seedstock

# OF HEAD (OPTION I NC/NCBA)

$.68/head (total count after 2,001)

# OF HEAD (OPTION II NC ONLY)

$.30/head (total count after 2,001)

Total number of head

Total:

Feedlot Council Membership

Feedlots which background or feed to finish. This council is unified, making both NC and NCBA dues investments.

Feedlot Placements

$.57/head

Feedlot Capacity

$1.14/head

Total:

Payment Option

MONTHLY
QUARTERLY
SEMI-ANNUALLY
ANNUAL

Additional Membership Options

Check Other Membership of Choice and Select Option of Choice

Additional Options

Supporting Membership
Student Membership
Associate Membership

Supporting Membership

NC/NCBA ($250)
NC Only ($150)

Non-owners of livestock, non-voting (select option)

Student Membership

NC Student Membership 1 time fee ($25)
NCBA Student Membership annual fee ($50)

Eligible until 24 years old

Birthdate:

Associate Membership

NC/NCBA ($550)
NC Only ($400)

Allied Industries and Businesses

Additional Membership Total

Nebraska CattleWomen Consumer Education and Promotion Committee Membership

Check to include NCW membership (NCW dues are included in your NC Membership)

Donations (Optional)

State PAC Donation

Membership Total

Total:

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Membership Application

Applicant Information

Council Member

Feedlot Council Membership

Additional Membership Options

Nebraska CattleWomen Consumer Education and Promotion Committee Membership

Donations (Optional)

Membership Total