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Please provide the following contact information:

First Name* Last Name*

Street Address*

Address (cont.)

City*

State/Province* Zip/Postal Code*

Work Phone Home or Cell Phone*

FAX

E-mail*

Will your party need special need assistance*:

Special Needs Yes No

How will you be hunting?

Gun
Bow

Black Powder

What type of game would you like to hunt? Check all that will apply. Some animals may not be

available at time of request.

Exotics
Addax	Black Buck	Gemsbok
Ibex	Scimitar Oryx	Zebra
Deer
Axis	Buffalo	Elk
Fallow	Red Deer	Sika
White-Tail
Sheep/Ram
Aoudad	Black Hawaiian	Corsican
Mouflon	Texas Dall
Birds
Dove	Duck	Rio Grande Turkey
Quail, Pheasant and/or Chucker

What are the dates you would like to hunt?

From:* To:*

Please enter the names and ages of all the hunters in your party

(if you will be hunting, please include yourself):

Name* Age*

Name Age

(Please use the question box if there are more hunters)

Questions or comments

*Indicates required fields