VTA- Join NTA print this form and enclose it with your payment mailed to:
National Trappers Association
2815 Washington Avenue
Bedford, IN 47421
E-Mail: http://www.nationaltrappers.com/
*Required Information
*Name____________________________________________________________
*Address__________________________________________________________
*City_____________________________*State_______*Zip_________________
*Daytime
Phone(___)______________ Evening Phone(___)________________
*BIRTHDATE___/____/____
Email______________________________
Please check all that apply: ____DO NOT SELL
New
______ Renew______
___One Year NTA
Membership $30
___Two Year NTA
Membership $55
___Three Year NTA
Membership $80
___Junior NTA
Membership $15
___Family NTA
Membership $15 (One household person must be a
regular NTA member)
Name of regular member:_____________________
US Lifetime NTA Membership (Under Age 70)
___$750/one-time payment
___Payment Plan 1: $75
down/bill me $75/9 months
___Payment Plan 2: $75
down/charge credit card $75/9 months
___US Senior Lifetime
Membership (Age 70 and Older) $200
___US Lifetime
Membership (No Magazine) $350
*Pay By: ___Check ___Credit Card
Credit Card
Number:________________________ Exp. Date:___/___
Security
Code:____ Signature:______________________________
Make check or money order payable to the National Trappers Association.