We appreciate your interest in an Associate Membership with the Nebraska Independent Telephone Association.  Your support of the association will be much appreciated and a link to your business will be located on this website.

Membership Dues for year: x $25 per year

Submitting this form notifies NITA of your interest in membership.  Please mail your membership dues to:

    Nebraska Independent Telephone Association
    C/O Larry Woods Treasurer
    PO Box 187
    Chambers, NE  68725

Your membership will become active once payment is received.

Please provide the information below for the proper contact at your organization and return a copy of this letter with your payment.  Feel free to call me with any questions at 402-439-2264.  I thank you for your support of NITA.

Company Contact Information:
 Contact Last Name.:  First Name:
Company Name .....:
Company Address. :
City . . . . . . . . . . . :  State ....:    ZIP.:
Phone # . . . . . . . .:   Fax # ...:
Cell/Mobil#: . . . . . :   Email . .:
URL . . . . . . . . . . .:

Sincerely,

Bob Paden
President

(After hitting "Submit", please print out the following Confirmation page & include with your payment.) Thank you!