Blue/Gray Charity Deer Hunt '08
January 17th, 18th & 19th
Please submit a separate form for each hunter registered.
PLEASE PRINT
CLICK TO RETURN HOME
|
Name: Address: City: State: Zip: Home Phone: Daytime Phone: Email: Age: Occupation: Land/Guide Request(Former Hunters): Group Hunting Request:
Check *PayPal Visa Mastercard Credit Card No: Security Code:** Exp. Date: / Amount authorized to charge to credit card: Signature: ___________________________________________
2-day standard hunt - $850
Optional Saturday afternoon hunt (Jan.
19th) - $175
Optional Sunday morning hunt (Jan. 20th) -
$175 **If paying by credit card, we will need the 3- or 4- digit security code found on the back of your card in addition to the 16- digit account number. If paying by check, please make payable to: The MLC Community Foundation. Please fill out the above form, this page, and then follow the directions below. Please return form to: Montgomery Lions Club |