KENTUCKY TAXIDERMIST ASSOCIATION INC. Membership Application Name _________________________________ Shop Name _________________________________ Address _________________________________ Telephone _________________________________ Cell # _________________________________ Home # _________________________________ Email address _________________________________ Is this your first membership with the K.T.A.? YES NO KTA dues are $60 annually Make checks payable to KY Taxidermist Association and mail to our current treasurer: Karen Wethington 16934 Knifley Road Columbia, KY 42728 Please tell us about yourself, your shop, full time, part time, hobbies, awards, achievements, family, or anything else you would like to share with us. __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ If you are online, you can check us out on the web at www.kytaxidermy.com |
| MEMBERSHIP APPLICATION: |
| Copy and paste the following application to apply to be a KTA member to any word document and print it off, fill it out, and send it in with your dues to the address in the form below! |