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NAME ______________________________ £ DATE OF BIRTH ____________£
BUSINESS NAME _______________________________________________________________£
ADDRESS ____________________________________________________________£
CITY ________________________________£ STATE _______ £
ZIP _______________£
TELEPHONE (DAY) _____________________ £ (NIGHT) ___________£
EMAIL ADDRESS:
____________________________ £
WEBSITE: ______________________________£
The ATAA is an Affiliate Representative of the National Taxidermist Association, Slidell, LA. The NTA includes a $10,000 Accidental Death Insurance policy and the Outlook magazine with your membership.
Please issue insurance policy in this name: _________
(Above for Business and Family memberships only)
SPONSORED BY (OPTIONAL): __________________________________________________________
MEMBERSHIP CATEGORY
________ U.S.
Individual ATAA Membership $35.00
________ U.S. Individual NTA Membership $50.00
________ U.S. Family ATAA Membership $45.00
________ U.S. Family NTA Membership $70.00
Please mail to: ATAA c/o Gail Tout, Secretary
5617 East 30th
Tucson, AZ 85711.
Make checks payable to: A.T.A.A.
For more information, please contact Gail Tout (520) 790-1054.
The ATAA hosts a website: taxidermyataa.com.
Please indicate
with a check mark in the □ on each line
above if you would like to include the information under the member listing on
the ATAA website.