South Carolina Association of Taxidermists        

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                                                  Please print, fill out and mail to SCAT Secretary  Melissa Phillips  

                                       165 Little River Trail    Indian Land,  SC  29707

 

                                                                       _____ Renewal or ______ New Member 

                                                                        _____ Single Membership   $ 60.00    

                                                                        _____ Family Membership + $ 5.00                                      Application  Date______________

                                                                       Name______________________________________________________________

Name of family member (if paying for family membership)  ___________________________________________________   

                                                                       Address____________________________________________________________

 

 City_______________________State___________ Zip Code_______________ 

                                                                   

 Phone#____________________________NTA#___________________________


 Email Address:_______________________________________________

Business

 Name:______________________________________________________________

               

 Business Address (if different)_________________________________________