PLEASE USE THIS FORM TO PARTICIPATE
IN THE NEBRASKA ACADEMIC DECATHLON
101 DONATIONS INITIATIVE
Sponsor Name:
(Optional) The Name you would like on the Decathlon materials if you are selected as the 101 Donations contest.
Donor's Name:
(Required if Donor's name is different than the Sponsor's name above.
Street Address:
(Required)
City, State Zip
(Required)
Phone Number:
(Optional if e-mail address is provided)
email Address:
(Optional if phone # is provided.
Preferred 101 Donation # (s)
We will contact you for another choice should someone select your number first.
No Preference:
Method:
Credit Card
PayPal
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