Become a Member - Coalition for a Strong Nebraska

To join the Coalition, complete the form below. Membership is free.

Organization Name*
Name*
First Last
Title / Position
Email*
Email List
- include me on the Coalition’s email list
Phone
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Legislative District in which your organization is located:*
Click here to look up your district >
Brief description of your organization’s purpose and service area:
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Areas of policy interest:*
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Does your organization have a Board of Directors?
- YES
- NO
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Please upload the Board of Directors list*
Max. file size: 300 MB.
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Does your organization have a paid outside lobbyist/firm?
- YES
- NO
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Lobbyist Name*
First Last
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Lobbyist Email
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Lobbyist Phone
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Does your organization have a staff lobbyist?
- YES
- NO
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Staff Lobbyist Name*
First Last
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Staff Lobbyist Email
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Staff Lobbyist Phone
Phone
This field is for validation purposes and should be left unchanged.