Text Box: OHIO TAXIDERMISTS ASSOCIATION MEMBERSHIP APPLICATION AND CONVENTION REGISTRATION NAME________________________ PHONE # _____________ ADDRESS______________________ CITY________________ STATE____ ZIP _______ BUSINESS NAME________________ Membership in the Ohio Taxidermists Association entitles you, your spouse and any MINOR children to attend the convention and seminars with you. However competing family members must pay the applicable fees. The 2010 OHIO TAXIDERMY CHAMPIONSHIPS ARE ON MARCH 26, 27, 28 at the Mid Ohio Conference Center, Mansfield, Ohio. Pre-registration fees are good until MARCH 12, 2010. After March 12th please pay at the door. MEMBERSHIP $55————————————-______________ ADDITIONAL FEES MOUNT ENTRIES(EACH)————$15($25 at door) ___________ HABITAT ENTRIES(each)———-$15($25 at door) ___________ BEST ALL AROUND ——————$15($25 at door) ___________ CHILDREN’S ENTRIES————-$5($10 at door) ____________ COMMERCIAL DIVISION———-$10($20 at door) ____________ BANQUET TICKETS—————$20($35 per couple) ___________ BANQUET TICKETS ADVANCE ONLY TOTAL ENCLOSED————————————————-___________ SEND TO OTA c/o TINA STRUNK 19893 TOWNLINE ROAD WAPAKONETA, OH 45895 2010 CONVENTION