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:

Sean Bechtold
KAT Secretary
308 E. A St.
Hillsboro, KS  67063
620-947-1631