Nebraska Beer Alliance
Please complete this form to join the Nebraska Beer Alliance (Enthusiast Membership) with the Nebraska Craft Brewers Guild.  You will receive a QuickBooks invoice for your payment within 24 hours in the amount of $54.60 (membership plus shipping).  Membership card will be sent electronically upon receipt of payment.  Swag items will be mailed to the address provided.

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First Name *
Last Name *
Phone Number *
E-Mail Address *
Mailing Address (address only) *
City *
State *
Zip Code *
This membership is for: *
If membership is for someone else, please provide their name, e-mail address, and mailing address.   Membership will be sent DIRECTLY to the cardholder.  
If you do NOT want the membership sent to the cardholder (if you plan to gift the membership yourself), please indicate below. *
If you are redeeming a Nebraska Lottery prize, please input your redemption code here:
I am an employee of a Guild Bronze, Silver, or Gold member (discounted rate):
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