|
|
|
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