Licensed
Taxidermist
Part
1: Membership Plan Options
*Single
and Family options include a yearly membership fee along with the registration
and seminar fee*
If
you plan on attending the Convention - DO
NOT
select the $35 membership only plan!
Part
2: Competition Registration
Number
of entries.
Entry
into the "Best All Around Taxidermist" Competition?
Adult
Banquet Tickets
Total
due
Please
print and mail registration form with checks payable to AIT:
Gina Wise - 3424 W 78th Place, Merrillville, IN 46410 219-746-1271
Gina Wise - 3424 W 78th Place, Merrillville, IN 46410 219-746-1271
Name:
Address:
City:
State:
Zip:
Phone:
Business
Phone:
Business
Name:
Email:
Children
12 & under Banquet Tickets
When
complete press
,verify information is correct. Then press
.
All
members that pre-register by Feb. 06, 2010 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 at arival.
Checks
will not be cashed until after the convention.
Although
you are pre-registered, you must
have your mounts checked-in by 9:00
am
Saturday morning.
Part
3: Awards Banquet Dinner
Spouse
Name (Attending)
ASSOCIATION
of INDIANA TAXIDERMISTS
2010
Membership / Registration Form
Kid(s)
Name (Attending):
1st
time entering mounts in any Taxidermy Competition ?
Website:
Please
enter total from Part 1, 2 & 3 and substract $15.00 if you have it
postmarked or paid with CC by Feb. 06, 2010
