| Kentucky Taxidermists Association Annual Convention and Competition Registration 2012 |
| Competition Registration |
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| Need more info about the convention ? contact convention@kytaxidermy.com |
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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 10th ) $100.00 _____
Additional Banquet Ticket (Each) $25.00 ____ _____
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 _____
Collective Artist Division $30.00 ____ _____
Affiliate membership $10.00 ____ _____
* see rule below
Presidents Challenge $10.00 _____
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 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 42240 • Phone # 270 885-7468
Please list number of each type mount ...
wall mount________ Table mount_________ Pedestal______________
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 10th ) $100.00 _____
Additional Banquet Ticket (Each) $25.00 ____ _____
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 _____
Collective Artist Division $30.00 ____ _____
Affiliate membership $10.00 ____ _____
* see rule below
Presidents Challenge $10.00 _____
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 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 42240 • Phone # 270 885-7468
Please list number of each type mount ...
wall mount________ Table mount_________ Pedestal______________