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NAME ______________________________ £ DATE OF BIRTH ____________£
BUSINESS NAME _______________________________________________________________£
ADDRESS ____________________________________________________________£
CITY ________________________________£ STATE _______ £
ZIP _______________£
TELEPHONE (DAY) _____________________ £ (NIGHT) ___________£
EMAIL ADDRESS:
____________________________ £
WEBSITE: ______________________________£
SPONSORED BY (OPTIONAL): __________________________________________________________
MEMBERSHIP CATEGORY
________ U.S. Individual ATAA Membership $35.00
________ U.S. Family ATAA Membership $45.00
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.