TRIBAL ENROLLMENT CONTACT INFORMATION UPDATE
Please help NEC make sure your tribal enrollment record is accurate. Submit a completed Tribal Enrollment Contact Information Update form in June or July and your name will be entered in drawings for great prizes such as 15,000 Alaska Air Miles (valid 2 years), NEC Fleece Sweater, FoodSaver Vacuum Seal Bundle or Cabela's Meat Grinder. Forms must be received by June 30 or July 31, 2020 by 5PM.

Individual forms should be submitted for youth under 18. Parents/legal guardians can submit individual update forms for each child under 18 for additional entries for the drawing.

Complete Forms can be submitted through this link or paper forms are available at www.necalaska.org. Paper forms can be dropped off outside our office in the locked mail box or sent to information@necalaska.org or faxed to 907-443-9144

The requested personal information is to ensure staff can properly match information.
Email address *
Full Legal Name (ex. First Middle Last) *
Maiden or Other Name. List N/A if not applicable *
Last 4 digits of your Social Security Number *
Month and Year of Birth (ex. 10/1991) *
Enrollment Number (can be found on your Tribal ID. If you do not know it leave blank)
Phone Number (ex. (907) 443-2246) *
Mailing Address, (ex. PO Box 1090 Nome, AK 99762) *
Physical Address (ex. 200 West 5th Ave. Nome, AK 99762 *
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Nome Eskimo Community. Report Abuse