Pennsylvania Taxidermist Association
Competition Entry Form
2011 Cabela's Taxidermy Competition & Showcase
September 9-11, 2011
Complete this form, print to your printer, and mail to:
Glenn H. Miller, 134 Degler Lane, Bethel, PA 19507

Name:   Phone:

Address:

City, State, Zip:

• • • You must be a paid member to compete. • • •
2011 P.T.A. Membership #:

NOTE: Fee is $25.00 for 1st piece entered, $15.00 each additional piece.
(Add $15.00 for each habitat to be judged.)

Category
 Division: Junior Amateur, Amateur, Professional, Master or Collective Artists
Species
Floor / Wall / Table Mount
Entry Fee
Mounts must be delivered to the competition area between 10 am - Store Close, Friday, September 9, 2011

NO refunds will be given!
Make checks payable to: PA Taxidermist Association and mail with this form to
Glenn H. Miller
134 Degler Lane
Bethel, PA 19507
 1st Piece @ $25.00
Additional Pieces @$15.00 ea.
Total No. of Entries


TOTAL Amount Enclosed

DO NOT MAIL THIS FORM AFTER AUGUST 31, 2011.
Walk-ins accepted. All entry forms not mailed by 8-31-11 please bring with you.

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