Top Golf Registration – Nebraska Kidney Association

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Company Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Team Captain Phone

Team Captain Email

Player #1

Player #2

Player #3

Player #4

Player #5

Player #6

Guest #1

Guest #2

Choice of Payment

Corporate – $1,500.00
Individual – $125.00

Choice of Payment (copy)

Corporate – $1,200.00
Individual – $125.00

Mission Statement

To provide resources that ensure Nebraskans with kidney disease continue living the Good Life. We do this through advocacy, education, early disease detection and patient services.

Contact Details

Nebraska Kidney Association
212 S 74th Street, Ste 205
Suite 120A
Omaha, NE 68114

Nebraska Kidney Association
303 E 4th St
PO Box 42
Minden, NE 68959

Email: lisa@kidneyne.org
Telephone: (402) 932-7200