I wish to book Hunt # ____ season for the following dates ____________. Enclosed is my $___________ deposit to secure my hunt.
Name __________________________ S.S. # __________________ Phone __________________
Address _______________________________ _______________ Birthdate _________________
City ____________________________________ State ____________ Zip __________
Drivers License #_______________________________________________
Age ______ Eyes ______ Height ______ Weight ______ Hair _______
Hunter Education - Compulsory Training for Both Residents and Non-Residents: All persons born on or after January
1, 1949, regardless of residency, are required to successfully complete a hunter education course before purchasing
or applying for a hunting license in Colorado. A certificate attesting successful completion of an approved hunter
education course will be required when purchasing a hunting license. Appropriate certification from other states will
be honored in Colorado.
All licenses must be purchased before midnight of opening date of season.
Hunters Safety Card # ____________________________________________
If you already have a Colorado Conservation Certificate, please list the number here _______________
Signature _________________________________________ Date _______________________
If you wish to use your VISA or MASTERCARD, just fill out the following information or call 970/268-5536. Please
print or type clearly. An additional charge of 5% will be applied to all credit card charges.
Name as it appears on your card ____________________ Card # _____________________________
MasterCard VISA Amount $ _________ Date _________ Expiration Date ________
We reserve the right to cancel a hunt, if we feel the game herds aren't sufficient enough to give you a fair and quality hunt or for any unforeseen circumstances. In these cases, your deposit will be refunded in full.