Information

Name

Company

Address

Website

City

State

Code

Phone

E-mail

Can we publish your name, address and phone # in the newsletter

Yes

Virginia Taxidermist Association
Membership Application

Membership

Individual - $50.00

Family - $75.00

Business - $105.00 - Includes business name on the VTA Website

Yes

No

No

Can we publish your name, address and phone # on the VTA Website

Please click "Send Details" When complete
Mail payment to:
VTA
Doris Viola
65 Beaver Lodge Road
Stafford, VA 22556