Harrisburg Mini-Competition — February 5 - February 11, 2011
COMPETITION ENTRY FORM
Entries must be postmarked by January 26, 2011. All entrants must be members in good standing of the PTA. Use one competition Entry form for each competitor. (If you are registering competition pieces for family members, friends, etc., use separate competition entry forms for each person.) Make additional copies of this entry form as needed. Walk-in entries will be accepted.
* * You Must Be A Paid Member To Compete * *

Name
2011 PTA Membership #
Address
City State Zip     Phone
         
Note: Pre-registration Entry Fee is $25.00 for 1st piece entered. $15.00 for each additional piece. (Habitats are a separate entry.)

ENTER PIECES AT OWN RISK —
PTA NOT RESPONSIBLE FOR DAMAGES OR LOSS OF ANY TYPE
Check with your insurance company regarding coverage when out of shop.
PARTICIPATION IN ANY PTA COMPETITION GIVES PERMISSION TO THE PTA, PHOTOGRAPHER, AND ITS AFFILIATES THE RIGHTS TO PHOTOGRAPH AND USE PHOTOS OF YOUR COMPETITION ENTRIES IN FUTURE AND ALL PUBLICATIONS
Category
Division
Species

Floor/Wall/Table
Mount
Entry Fee
1st Piece @ $25.00 Pre-registered
Additional pieces @ $15.00 Pre-registered
Total Number of entries
Total Amount Enclosed
Are you competing for "Best All-Around Professional Taxidermist"? (check rule requirements)
YES 
NO
    
Mounts must be delivered to the competition area between 3-7 p.m. Thursday, February 3, 2011 and
8 a.m. -12 noon Friday, February 4, 2011. NO refunds will be given!
 
Print & Mail this Form
Make checks payable to:
PA Taxidermist Association and mail this form to: Andrew Peters
540 Notch Rd.
Duncannon, PA  17020
 
Do not mail this form after January 28, 2011 - Bring this from to the show instead