|
Membership Application
|
|
Name____________________________________________ Date __________________
|
|
Address _____________________________________________________________________
|
|
Phone Numbers ______________________________________________________________
|
|
Fax # ____________________________ OK Hrs to call ___________________________
|
|
e-mail _______________________________________________________________________
|
|
Membership Type:
|
Family/ Institution $20 _________ Single $10 _________ Student/Child $5 __________
|
|
Interest:
|
What types of cold-blooded animals are you interested in or own?
|
|
Past: ________________________________________________________________________
|
|
Present: ______________________________________________________________________
|
|
Future: _______________________________________________________________________
|
|
How can this association be of service to you?
|
|
_______________________________________________________________________
|
|
_______________________________________________________________________
|
|
_______________________________________________________________________
|
|
_______________________________________________________________________
|
|
Membership information is never sold or released to the public.
|
Can your information be released to the general membership?
_____________________________________________
|
|
Have you reviewed and accept the guidelines and code of ethics that govern this Association ?
__________________
|
|
|
Mail Applications To:
|
T.S.A.R.A.
|
P.O. Box 47
|
Dry Ridge, KY 41035
|
|
|
Signature of member : _______________________________
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|