PLEASE USE THIS FORM TO PARTICIPATE
IN THE NEBRASKA ACADEMIC DECATHLON
101 DONATIONS INITIATIVE
(Optional) The Name you would like on the Decathlon materials if you are selected as the 101 Donations contest.
(Required if Donor's name is different than the Sponsor's name above.
City, State Zip
(Optional if e-mail address is provided)
(Optional if phone # is provided.
Preferred 101 Donation # (s)
We will contact you for another choice should someone select your number first.
Check or cash by mail
Please use drop-down to let us know how you will make your donation.
Comment or Question:
Donate by Credit Card, PayPal, or Check