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NEW MEXICO TAXIDERMY ASSOCIATION
2010 TAXIDERMY SHOW REGISTRATION FORM
         
                                    Mail Registration Form To:
Jeannette Gallegos
95 Chamisa Dr.
Santa Fe, NM  87508
         


NAME:______________________________________		 PHONE:_____________________________________      
         


ADDRESS:_________________________________________________________________		 CITY:________________________________________   STATE:______________________________  
         


ZIP CODE:_________________________________________________________________		 E-MAIL ADDRESS:____________________________________________________________      

 

FEES & DUES


          TOTAL
Registration

Includes seminars, drawings, 1 competition entry, & 1 guest		   $40.00   _________

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

2009 Dues		 Single $65.00 Family   $95.00   _________

Life NTA		             $15.00   _________
        TOTAL DUE _________

 

MOUNTS ENTERED
SPECIES DESCRIPTION CATEGORY DIVISION

Example - Mule Deer		 Example - Wall Mount Example - Gameheads Professional

     

     

     

     

     

     

 

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:


Card Type		  

 

 

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