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You can copy and paste the below information or click on a downloadable form.
Please note a couple of changes: Jr. Membership is now $15 and we really want your email address
so we can send you news letters etc. and save snail-mail postage .

To download application for printing,   Click here
 
Membership Application

ENCLOSED FIND  $______________ (circle one below)                                                                                                                                                                                                                                                                                                                                                                          
TODAYS DATE________________ 

Regular Membership............$20.00       

Junior membership.....(under 16)......$ 15.00 

Senior membership..(over 65).........$15.00

Family membership..(write names on back)..$30.00

(All the above includes a one year subscription to “THE TRAPPER” magazine)

Membership with no magazine..........................$15.00

PLEASE CHECK ONE         ___NEW   ___RENEWAL              

Lifetime Member: $425.00 cash, or 3 yearly payments of $150.00 = $450.00                                                                                                            

(age 50 or older: $350.00)

 

NAME__________________________________________________________________________

 

ADDRESS_______________________________________COUNTY______________________

 

CITY__________________________  STATE______  ZIP CODE________________________

 

PHONE_____________________________  AGE_______   YEARS TRAPPED___________

                    “ TRAPPERS HELPING TRAPPERS”

Send to: 

Secretary: Amber Bassett
P.O. Box 25
Hyrum UT. 84319
Phone number 435-764-2056
UTA.amber21@yahoo.com

(revised 7/28/11)                      Your email address: _________________________________