FUR TAKERS OF AMERICA MEMBERSHIP APPLICATION

NAME   ____________________________________________________________

ADDRESS   _________________________________________________________

CITY, STATE, ZIP   __________________________________________________

PHONE  _____________________  E-MAIL   _______________________________

□ Regular Membership $30 (annual dues)                □ New    □ Renewal
□ Regular Membership 2-years $55                      □ New    □ Renewal
□ Regular Membership 3-years  $85                           □ New    □ Renewal
□ Junior Membership $15 (before 18th birthday)   □ New  □ Renewal    
□ Life Member $700 (before 65th birthday) 
□ Life Member $300 (on or after 65th birthday)
□ 2010 Sustaining Donor $20 (does not include magazine)
 

Please print, complete, & send appropriate payment to:

Fur Takers of America
Carol Krumwiede, Treasurer
PO Box 3
Buckley, IL 60918

 Visit our website at furtakersofamerica.com if you wish to join online.  If you wish to use a credit card, call 217-394-2577. A small service charge will be added.