HUNT INFO--->COMPLETE & SEND WITH DEPOSIT

Timber Mallard Guide Service, LLC

6190 Hwy. 135N
Paragould, AR 72450
870.476-1667-Lodge/Cell Phone
870.240.0940
http://tmgs.timbermallard.com

FILL OUT THE APPROPRIATE INFORMATION AND ATTACH WITH DEPOSIT

Today's Date:__________________________

Name:__________________________________

Address:_________________________________

________________________________________

City:___________________________

State:__________________

ZIP:_____________________

Home Phone:_____________________________

Work Phone:_____________________________

Reservation Dates:________________________ thru ________________________

Total Number of Hunting Party:_____________________ Adults ____________ Youths ___________

Amount of Deposit: $______________________(at least 25% of total)

Check Box if Deposit Information is Same as Above (if not fill out information below)

Name:__________________________________

Address:________________________________

_______________________________________

City:__________________________

State:________________________

ZIP:_______________________

Home Phone:_________________________

Work Phone:_________________________

CHECK THE APPROPRIATE BOX

Yes No Do you have an Arkansas Hunting License? (if no then answer #2)
Yes No Do you plan on purchasing an Arkansas Hunting License via the internet?
Yes No Do you have a current Federal Duck Stamp? (if no then answer #4)
Yes No Do you plan on purchasing a Federal Duck Stamp via the internet?
Yes No Do you have a current Arkansas State Duck Stamp? (if no then answer #6)
Yes No Do you plan on purchasing an Arkansas State Duck Stamp via the internet?
I plan on buying my Arkansas Hunting License, Federal, and State Duck Stamp upon arrival. Arrangements must be made by calling 870-586-0271(shop) 870-240-0940 (home).
Yes No I would like an afternoon field hunt. (call for availability)
Afternoon Mallard Hunt
Do you mind hunting with other parties? (we generally do not mix groups)
Yes No

Signature:______________________________________ Date:________________

Any change in the information provided above must be made prior to arrival. We reserve the right to retain deposits.