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: _________________________________