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Illinois Trappers Association

 

Application for Membership

 

ANNUAL DUES $20.00

 

New [ ]                Renewal [ ]

 

County _____________________

 

Trapper Education Certification Number

(If applicable)

 

 

 
 

 

 

 


PLEASE PRINT CLEARLY

 

Name _____________________________

Address ___________________________

__________________________________

City_______________________________

State __________________Zip_________

Age_____  Occupation _______________

Phone:  (          ) _____________________

E-mail address:  ____________________

 

Membership includes subscription to

“The Trapper & Predator Caller”

 

Send Dues to Treasurer:

(make checks payable to ITA)

 

Timothy M. Kelley

R.R. #3, Box 111

Petersburg, IL  62675

 

 

 

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