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.
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If you are online, you can check us out on the web at
www.kytaxidermy.com
MEMBERSHIP APPLICATION:
:: Hobby & Recreation Group ::
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!