Join the Nebraska Center for the Book Name __________________________________________________ Address_________________________________________________ Phone ____________________________ E-Mail: _____________________ ___ $15 Individual Membership ___ $25 Organizational Membership ___ $50 Octavo Membership ___ $100 Quarto Membership ___ $250 Folio Membership Please send this form and a check to: Nebraska Center for the Book The Atrium, 1200 N Street, Suite 120 Lincoln, NE 68508-2023