KANSAS ASSOCIATION OF TAXIDERMISTS

Membership Application

Members Name________________________________________

Spouses Name_________________________________________

Business Name__________________________________

Mailing Address_________________________________

City______________________State & Zip____________

Phone_______________________________

Email address___________________________

Buisness Website____________________________________________
 

Other Info. (ex: Specialties, etc.)_____________________

_________________________________________________

Membership fee enclosed $25.00

Make checks payable to: KAT

Return to:

Suzie Rulo
KAT Secretary
21010E. 175th. Street
Pleasant Hill, MO  64080
816-987-3336