| 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 |
