1. Ambassador Club
Are you age 55 or better? Join the Club!
Ambassador Club Membership Registration
Birthday
Spouse’s Name
Spouse’s Birthday
Name
Anniversary Date
Address
City
Telephone
Email
Were you referred by another Ambassador Club
Member? If so, please give us their name:
Complete this card and return it to your local
Heartland Bank branch or mail this card to:
896 G Street
P.O. Box 313
Geneva, NE 68361
MyHeartlandBank.com LENDER
EQUAL HOUSING
Member
FDIC
State Zip