Membership Form

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Arkansas Trappers Association

ARKANSAS TRAPPERS ASSOCIATION
MEMBERSHIP APPLICATION


___NEW ___RENEW


Please Check One


___Individual Yearly Dues--------------------$10.00
___Yearly Dues W/Trapper-------------------$20.00
___Family Yearly Dues-------------------------$15.00
___Family Yearly Dues W/Trapper---------$25.00
(If family membership, list names of
immediate family on bottom of page)


Name_____________________________


Address____________________________


City_________________State____Zip______


County_____________________________


Phone( )_________________________


Please print a copy of this page, fill out, and send
with payment to:


Arkansas Trappers Association
Cindy Bass
6755 Bethesda Lane
Batesville, Ar. 72501