MEMBERSHIP APPLICATION
OKLAHOMA TAXIDERMISTS ASSOCIATION
Membership runs from convention to convention.
Secretary reserves the right to pro-rate a late membership.
OKTA special events will not be pro-rated.

Name: _________________________________________Date: ________________________

Address:  
___________________________________________________________________________

City: _______________________________ State _________  Zip Code: _________________

Phone (_____) _______-_________   E-mail: _________________  
Website:_____________________

Membership Options:
                          ___  Individual ($35)
                          ___  Family * ($40)
                          ___  Senior Citizen ($15) + $5 for Family (60 yrs +)
                          ___  Lifetime:  ($400)

*Family memberships apply only to people living in the exact same house as the member.
List Family Members:
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________

Please Print and return with payment to:
Monica Taylor
OKTA Secretary / Treasurer
PO Box 57
Schulter, OK  74460

Email: oklahomataxidermistsassociation@yahoo.com

Credit Cards are accepted. Please call Monica (918) 759-1798