Garden State Taxidermist Association
Membership Application

One-Year Membership,  January 1 to December 31


CATEGORY:          U.S. Individual --- $35.00 ______         U.S. Family --- $45.00_______

Membership Status:    New____       Renewal ____

NAME_________________________________ DATE OF BIRTH____________

ADDRESS__________________________________________________________

CITY____________________ STATE_________________ ZIP______________

TELEPHONE (DAY)__________________ (EVENING)____________________

E-mail Address:_______________________________________________________


Would you like to be listed
on our website gstaonline.org.?
Yes______ No_______

Mail your membership application to:
(Please make check payable to G.S.T.A.)

Garden State Taxidermists Association
Attn: Laura Bacskoczky c/o GSTA
42 Red Bank Road
Spotswood, NJ 08884
(732) 251-9120