A.I.T. Membership Registration

ASSOCIATION of INDIANA TAXIDERMISTS, Inc.

2011 Membership / Registration Form

Licensed Taxidermist

Part 1: Membership Plan Options

Total due. Please enter total from Part 1,2 & 3 (subtract $15.00 if post marked by Feb. 06th, 2011).

Single & Family options include a yearly membership fee along with the registration and seminar fee.

Part 2: Competition & Awards Banquet Registration

1st time entering mounts in any Taxidermy Competition ?

Number of entries, Youth division entries are free!

Would you like to enter in the "Best All Around Taxidermist" Competition?

Adult Banquet Tickets

Please print and mail registration form with check payable to AIT:

Tracy Tatge, 2790 N 300 E

Fowler IN 47944

1-765-884-0683

Name:

Address:

City:

State:

Zipcode:

Phone:

E-Mail:

Business Name:

Children 12 & under Banquet Tickets

When complete press before pressing !!!

If you pre-register you will be entered in the $100 Early Bird Drawing that will be held at the Banquet.

Your paperwork and receipt will be at the pre-registration table.

Checks will not be cashed until after the convention.

Although you are pre-registered, you still must have your mounts checked-in by 9:00 am Saturday morning.

Website:

Spouse's Name:

Kid(s) Name:

Business Phone:

Yes, Please include my information in our Members List on our website. WWW.indianataxidermist.org

Part 3: Awards Banquet Registration

If you plan on attending the convention do not select the $35 membership only

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