Licensed Taxidermist
Part 1: Membership Plan Options *Single and Family options include a yearly membership fee along with the registration and seminar fee*
If you plan on attending the Convention - DO NOT select the $35 membership only plan!
Part 2: Competition Registration
Number of entries.
Entry into the "Best All Around Taxidermist" Competition?
Adult Banquet Tickets
Total due
Please print and mail registration form with checks payable to AIT:
Angie Lacer - 13270 N Northwood Dr. - Camby, IN 46113 - Ph. 317-856-3054
Name:
Address:
City:
State:
Zip:
Phone:
Business Phone:
Business Name:
Email:
Children 12 & under Banquet Tickets
When complete press ,verify information is correct. Then press .
All members that pre-register by Feb. 06, 2009 will be entered in the $100 Early Bird Drawing that will be held at the Banquet.
Your paperwork and receipt will be at the pre-registration table at arival.
Checks will not be cashed until after the convention.
Although you are pre-registered, you must have your mounts checked-in by 9:00 am Saturday morning.
Part 3: Awards Banquet Dinner
Spouse Name (Attending)
ASSOCIATION of INDIANA TAXIDERMISTS
2009 Membership / Registration Form
Kid(s) Name (Attending):
1st time entering mounts in any Taxidermy Competition ?
Website:
Please enter total from Part 1, 2 & 3 and substract $5.00 if you have it postmarked or paid with CC by Feb. 06, 2009
