|
Print,
fill out, and send to Lovett Williams.
| Species
of interest: Gould's _____ ( year _________ ) or Ocellated _____ (
year _________ )? |
| Date
of this request: / /
(for priority) |
Preferred
hunt: / /
|
| Name
of party organizer: |
#
of hunters: (6
maximum) |
| Address:
|
ZIP: |
| Phone:
|
FAX: |
E-mail:
|
| Amount
of deposit enclosed (@ $300 per hunter): |
| Names
and contact information of other hunters in party |
| Name
of Hunter #2: |
| Address:
|
ZIP: |
| Phone: |
E-mail: |
| Name
of Hunter #3: |
| Address:
|
ZIP: |
| Phone: |
E-mail: |
| Name
of Hunter #4: |
| Address:
|
ZIP: |
| Phone: |
E-mail: |
| Name
of Hunter #5: |
| Address:
|
ZIP: |
| Phone: |
E-mail: |
| Name
of Hunter #6: |
| Address:
|
ZIP: |
| Phone: |
E-mail: |
.:|
Lovett E. Williams, Jr. • Address: P. O. Box 870, Cedar
Key, FL 32625 •
E-mail: lovett@lovettwilliams.com • Phone and FAX: (352) 543-9530
|:.
|
