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| Name: | ||||||
| Address: | ||||||
| City: | State: | Zip: | ||||
| Phone | Fax: | |||||
| Email address: | ||||||
| Social Security #: | Driver’s license #: | |||||
| Hunter Education # (required if born after 1/1/1975) | State: | |||||
| Date of Birth: | Gender: |
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| Dates selected: | ||||||
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Additional Information:
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Please make check or money order for Deposit and Balance Due payable to Middle Fork Outfitters. |
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| 1 .Cost of Hunt: | ||||||
| 2. Deposit (50% of Hunt) **: | ||||||
| 3. ID Sales Tax (6% of total cost of hunt): | ||||||
| 4. Forest Service Fee (3% of line one): | ||||||
| 5. Balance Due 30 days before hunt (add lines 2, 3 and 4): | ||||||
| ** NOTE: Deposit is required in order to secure your hunt and dates. All deposits are Nonrefundable. | ||||||
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LICENSE INFORMATION
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| License Applying For: | ||||||
| Hunting License (all applicants must purchase) |
$141.50
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| Hunting Fishing Combination |
$199.75
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$372.5.50
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$258.00
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$1,515.50
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$1,515.50
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$151.75
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$31.75
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$31.75
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$151.75
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$31.75
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$31.75
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Total License Fees
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$
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Please make checks for license fees payable to Idaho Fish & Game.
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| Hunter Signature: | ||||||
| Outfitter Signature: | ||||||
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| Please fill out all information and return with appropriate funds to: | ||||||
| Middle Fork Outfitters, LLC | 509-671-7126 | |||||
| PO Box 1647 | 509-671-7127 | |||||
| Newport, WA 99156 | ||||||