2010 Kentucky Taxidermists Association
Annual Convention and Competition Registration
August 6,7,8, 2010

2010 Kentucky Taxidermists Association
Annual Convention and Competition Registration
August 6th , 7th & 8th  2010

      Price            Qty                        Total $
Per-registration fee                                         $75.00        _____                  $ __________
(Includes one Banquet Ticket and one entry)
Late-Registration fee (after July 25th )             $100.00           _____                   ____________
(Includes one Banquet Ticket and one entry)  
Best All-Around Professional Taxidermist           $15.00         _____                    ____________
Best All-Around Master Taxidermist                    $15.00         _____                    ____________
Best Original Creation (Each Mount)                  $15.00         _____                    ____________
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                                                 $60.00         _____                    ____________
Additional Banquet Ticket (Each)                        $20.00         _____                    ____________

                                                    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 Inc. member's and officers of any  
Liability as a result of injury or from theft of  mounts entered.

Signed:______________________________________________________

All Pre-Registration fees must be postmarked by July 25th.  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 write down a description of the mounts you are entering!!!!!
Wall Mount:________________________________________________
__________________________________________________________
__________________________________________________________
Table  or Floor Mount: _______________________________________
_________________________________________________________
Competition Registration
To Print hold mouse over page, right click then click on "print page" or copy Paste to another file
Need more info about the convention ? contact convention@kytaxidermy.com