Member Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:
State:
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Spouse:
Family Members:
Business Name:
Website:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Membership Plan
Plan Type:
Member $50
Supplier $50
Dues will be waived upon proof of current membership in your state's taxidermy association for those that choose not to join the ITA. You will be required to pay non-member registration fees.
Convention Registration
Type:
None
Early Registration $40
Late Registration $50
1-day Registration $25
Non-Member $75
Registration required for seminars and supply room entry. Competitors will not be allowed 1-day registration.
Competition Registration
First entry:
None
First Entry $25
Add'l Entries:
None
1 add'l entry $15
2 add'l entries $30
3 add'l entries $45
4 add'l entries $60
5 add'l entries $75
6 add'l entries $90
Youth Entry:
Best All Around (Free) Competitors Award (Free)
Saturday Awards Banquet
Adult Meals:
None
1 Adult Meal $25
2 Adult Meals $50
3 Adult Meals $75
4 Adult Meals $100
5 Adult Meals $125
6 Adult Meals $150
7 Adult Meals $175
Kid Meals:
None
1 Child Meal $5
2 Child Meals $10
3 Child Meals $15
4 Child Meals $20
TOTAL
Free Youth Project :
None
1
2
3
4
5
6
7
8
9
10
11
12
Please pre-register for youth project so there are enough supplies for everyone.
Please mail check to:
Erik Esposito
