Name:

Critique only?  No ribbons / Awards

Mount #

1st time Competing ?

Species/Type

Division:

Category:

Manikin Type:

Cast Parts:

Fish Paint:

Other Info:

If entering original art, what type is it?

Please attach all mount registration form(s) to the membership form and mail with payment to:

Tracy Tatge, 2790 N 300 E.   Fowler IN  47944

(765) 884-0683

When complete, press                  and verify information is correct. If so, press                   .

ASSOCIATION of INDIANA TAXIDERMISTS

2011 Mount Registration Form

Note: Even though security is provided, AIT, Inc. is not responsible for any theft or damage of any mount

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MastersProfessionalAmateurJunior 8-15Youth 0-7Commercial

Whitetail Open MouthWhitetail Closed MouthTurkeyCold Water FishWarm Water FishFish PedestalBirdReptileGamehead Mammal LgMammal Sm ReproductionOriginal Art

Alterered CommOriginal SculptCarcass CastWrapped Body

N/APolyTransparOther

N/ACommercialOriginalCommercial & Orginal