NEW MEXICO TAXIDERMY ASSOCIATION

NEW MEXICO TAXIDERMY ASSOCIATION 2010 TAXIDERMY SHOW REGISTRATION FORM

			Mail Registration Form To: Robert Major P.O. Box 1552 Mesilla Park, NM 88047

NAME:______________________________________	PHONE:_____________________________________

ADDRESS:_________________________________________________________________	CITY:________________________________________	STATE:______________________________

ZIP CODE:_________________________________________________________________	E-MAIL ADDRESS:____________________________________________________________

FEES & DUES

				TOTAL
Registration (If you attend the show, you receive $15.00 off registration) Includes seminars, drawings, 1 competition entry, & 1 guest		$50.00 Show Special $35.00		_________
Banquet (per person)		$20.00	Banquet # __________ x $20.00	_________
Late fee if not pre-registered		$10.00		_________
Competition Entry		$10.00	# of entries__________ X $10.00	_________
All-Around Entry		$10.00		_________
Seminars 1-day		$20.00		_________
Seminars 2-day		$35.00		_________
Youth Seminar		NC		NC
2010 Dues	Single $65.00	Family $95.00		_________
Life NTA		$15.00		_________
My contribution to the Charlie Fleming Education Fund	$		TOTAL DUE	_________

I have read and agree to all the rules governing this competition as stated in the NMTA By-Laws
Signature	Date
Card Number	Expiration Date:
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