APPLICATION

Name:
Address:
City:	State:	Zip:
Phone:	Date of Birth:
Total cost of hunt:	Deposit:	Balance due:
Date of hunt requested:	Number of hunters in group:
Name(s) of others in group:
County hunting preference:
Full guide service wanted:	(circle response)                 Yes       No
Number of days requested (@ $100/day)	(write in number here)
Campsite/electrical hookup needed:	(circle response)  Yes ($100.00 credit)    No
APO Lodging choice                    (circle response)	Primary              Secondary
Motel preferred                           (circle response)	Yes ($125.00 credit)    No

Hunters are responsible for the following:

·         Portable stands (optional)

·         Personal hunting gear

·         Licenses/Permits

·         Sleeping bags, pillow etc.  

Number of Years of whitetail hunting experience:
Any special accommodations/disabilities:
Additional comments:
Emergency contact [Name & Phone No.]:
Signature:	Date:

 

 

Click here to print an application

(the application is in PDF format so you will need Adobe Acrobat Reader)

To get the free Adobe Acrobat Reader Click Here.

After printing out the page, fill out the form    PRINTING LEGIBLY    and then Mail the form with deposit to the address listed below.

Neal Meyer

2838 East Bluff Court

Quincy, IL  62305

Call:  217-224-0553

           or

Cell Phone: 217-242-1089

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