Kentucky Taxidermists Association
Annual Convention and Competition Registration
2012

2012 Kentucky Taxidermists Association
Annual Convention and Competition Registration



                                                        Price            Qty                        Total $
Per-registration fee                                               $75.00        _____             $ __________
(Includes one Banquet Ticket and one entry)
Late-Registration fee (after July 15th )                 $100.00       _____               __________
(Includes one Banquet Ticket and one entry)  
Best All-Around Commercial Taxidermist              $15.00        ______             __________
Best All-Around Professional Taxidermist             $15.00         _____               __________
Best All-Around Master Taxidermist                      $15.00         _____               __________
Best Original Creation (
Each Mount)                   $15.00         _____               __________
Habitat Catagory   (
Each Mount)                         $10.00         _____               __________
Amateur Division  (
Each Mount)                          $10.00         _____               __________
Commercial Division  (
Each Mount)                    $10.00         _____               __________
Professional Division     (
Each Mount)                $10.00         _____               __________
Masters Division   (
Each Mount)                         $10.00         _____               __________
Membership Fee
(required to participate )        $60.00         _____               __________
Additional Banquet Ticket (
Each)                         $20.00         _____              __________
Collective Artist Division                                        $30.00         _____             ___________
Affiliate membership                                              $10.00         _____             ___________    * see rule below
                

                                                                                     Total ____________
Name _______________________________________________
Address _____________________________________________
Telephone ___________________________________________
Email _______________________________________________

*** Call Wade Calvert for information on awards. (502) 867-9997

I agree to abide by the competition rules established by the Kentucky Taxidermist Association.  I am Participating at  the KTA
Convention and Competition at my own risk and hereby release KTA and all members ” from liability of handling mounts,
damage or theft of mounts entered in the competition and from accidental Personal injury".

Signed:______________________________________________________

+  Affiliate membership is only available to immediate family members of a paid KTA regular member.
(ie: spouse,dependant children residing in the same household)

All Pre-Registration fees must be postmarked by July 10th.  Make checks payable to; KY Taxidermist
Association.

Please send Pre-Registration forms and fees to:
Brian Bliese • 5010 Prosperity Lane • Hopkinsville, KY 42728 • Phone # 270 885-7468

Please list  number of each type mount  ...
wall mount________  Table mount_________    Pedestal______________
Competition Registration
To Print hold mouse over registration form, right click then click on "print page" or copy Paste to another file
Need more info about the convention ? contact convention@kytaxidermy.com