2018 EPIC OUTDOORS LICENSE APPLICATION FORM

2018 EPIC OUTDOORS LICENSE APPLICATION FORM

PO BOX 2978 ? Cedar City, UT 84721 ? 435-263-0777

huntapps@

To join our License Application Service, simply fill out this form and return it to us. If there is any missing information we will contact you. If would like us to call you and review your application, please check here o. You may also join online at .

BASIC INFORMATION

First Name Mailing Address Physical Address Primary Phone

Middle City City

Alt Phone

Last Name

State/Province

Zip Code

State/Province

Zip Code

Email

Title Country Country

HUNTER INFORMATION

HUNTER PREFERENCES

Social Security Number

Date of Birth

State you currently claim residency related to hunting

Driver License #/State Issued

Gender

Weight

Height

Hunter Education #/State

Eye Color

Hair Color

Unit Preference (check one) o Epic Units - Best in State! o Top Units - Great units in State o Average Units - 160" Bucks/300" Bulls o Points Only/Worst Odds - Don't Want to

Draw

Points Only Note: Not all states have a Points Only option, in those states we will apply you for the units with the worst odds.

Weapons of Interest (check all that apply) o Any Weapon o Rifle o Archery o Muzzleloader o Species Specific (e.g. Archery Elk - use

notes space)

Species of Interest (check all that apply) o Mule Deer o Elk o Sheep o Antelope o Moose o Other (use notes space)

Hunting Styles (check all that apply) o Extreme Backpack o Day Hikes o Limited Physcially o Prefer Guided Hunts

State Raffle Tags o Check if you are interested in raffle tags

Guide Preferences o Always Guided o Sometimes

Guided

Preference Notes

o Guided On Rare Tags

o Self-Guided

Group App Notes

List 2 credit cards with one being VISA or MasterCard, some states do NOT accept American Express. Make sure your cards expire AFTER August 2018. All fields listed are required.

Primary Credit Card #

Alternate Credit Card #

Exp. Date

V-Code (3 digit # on back of card) Exp. Date

V-code (3 digit # on back of card)

Name on card (exact)

Name on card (exact)

Billing Address (if different than mailing)

Billing Address (if different than mailing address)

City

State

Zip

City

State

Zip

HUNTER INFORMATION

KANSAS

IOWA

IDAHO

COLORADO

CALIFORNIA

ARIZONA

ALASKA

STATE ID #S

Please give us any existing state ID numbers you have

AK:

IA:

AZ:

KS:

CA:

MT:

CO:

NV:

ID:

NM:

o Dall Sheep

o Rocky Mtn Sheep o Desert Sheep o Buffalo o Points Only (Specify)

o Antelope o Elk o Mule Deer

o Coues Deer

(only 1 sheep and deer app may be submitted, but species may be mixed.)

o Desert Sheep o Mule Deer o Antelope o Points Only (Specify)

Only Choose One Elk Species o Rocky Mtn Elk o Roosevelt Elk o Tule Elk

o Mule Deer o Elk

o Desert Sheep OR o Rocky Mtn Sheep

o Antelope

o Moose

o Points Only (Specify)

o Goat

Either Choose One Below: o CAL Sheep o Rocky Mtn Sheep o Moose o Goat

OR

Choose Up to Three Below: o Mule Deer o Elk o Antelope

o Whitetail

o Points Only (Specify)

o Whitetail

o Points Only (Specify)

o If I draw a Whitetail tag, put me in the Mule Deer Drawing with a Muzzlelader or Bow. If you are a non-resident, this is the only way to get a Mule Deer tag.

OR: TX: UT: WA: WY:

NOTES:

NOTES:

NOTES:

NOTES:

NOTES:

NOTES:

NOTES:

WYOMING

WASHINGTON

UTAH

TEXAS

OREGON

NEW MEXICO

NEVADA

MONTANA

o Sheep o Goat o Moose o Bison

o Antelope o Deer o Elk o Points Only (specify)

o CAL Sheep o Desert Sheep o Antelope o Mule Deer o Elk o Mtn Goat

o Antelope Silver State Tag o Mule Deer Silver State Tag o Elk Silver State Tag o Des. Sheep Silver State Tag o Points Only (Specify)

o Antelope o Oryx o Elk

o Mule Deer o Coues Deer o Ibex o Rocky Mtn Sheep AND/OR o Desert Sheep

(Choose 1 Species of Deer)

o Mtn Goat

o Mule Deer

o Elk

o Columbian Whitetail

o Antelope

o Blacktail Deer

o Rocky Mtn Sheep OR

o CAL Sheep

o Desert Sheep

o Mule Deer o Elk o Antelope o General Deer o Buffalo

o Sheep o Moose

o Deer o Elk o Antelope o Moose

o Moose o Rocky Mtn Sheep o Desert Sheep o Mtn Goat o Points Only (Specify)

o Mtn Goat o Points Only (Specify)

o Sheep o Mtn Goat o Bison o Points Only (Specify) (Points Not Avail. for Mtn Goat)

NOTES: NOTES: NOTES: NOTES: NOTES: NOTES: NOTES: NOTES:

Epic Outdoors Contract

PO BOX 2978 Cedar City, UT 84721

435-263-0777

I hereby authorize and give Epic Outdoors Inc., of Iron County Utah, the right to process any or all of my hunting application(s) for big game. I further authorize and grant Epic Outdoors a LIMITED power of attorney to sign in the name, place and stead of myself on any electronic or paper big game applications.

I will hold Epic Outdoors harmless in the unlikely event that a mistake is made when filing my applications. I will not hold Epic Outdoors responsible for a decline in quality of big game units or areas or lack of hunting success. In the unlikely case that there is an error, I will be entitled to a full refund of application and tag fees for that particular application.

Specific to big game applications, I grant and give unto Epic Outdoors full authority and power to do and perform any and all acts necessary. I authorize and grant Epic Outdoors full rights to perform tasks I might or could do if personally present, with full power of substitution.

Epic Outdoors has permission to use my photos and/or videos of trophies taken through Epic Outdoors for promotional purposes. All sales on the License Application Service are final. Application and service fees are non-refundable. Approval of your application is not guaranteed. When applying for tags, you're not guaranteed to draw.

I hereby swear all information on this application to be true and correct.

AUTHORIZATION

Signature

First Name Mailing Address

Date

Middle City

Last Name State/Province

Zip Code

Title Country

Optional Epic Outdoors Magazine

We also publish Epic Outdoors Western Hunting Magazine.

Check below to receive the magazine membership: $100 for 1 year membership (in the US) $150 for a 1 year membership (Outside the US)

Call 435-263-0777 with any questions.

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download