Personal Information

Referred by: - select - Ben Maki Chris Jones Todd Perkins Brent Smith Chirs Noffsinger Eric Johnston Travis Sumner Parrey Cremeans Jeremy Romain Joe Bush Jason Hart Jimmy Keeter Karl Badger Kevin Hutchings Matt Newton Marshall Collette Mario Friendy Neil Collier Scott Hinojosa Perry Peterson Patrick Hall Philip Mailhiot Rick Ferlita Ryan Recker Scott Davis D.J. Randolph Steven Reinhold Tim Anderson

First Name:  Required

Last Name:  Required

Phone:  Required

Country:  Required - select - Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Congo, Democratic Republic of Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland France French Guiana Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Korea, Republic of Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Martinique Mauritania Mauritius Mexico Micronesia Moldova Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway NULL Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino São Tomé and Príncipe Saudi Arabia Senegal Seychelles Sierra Leone Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (UK) Virgin Islands (US) Yemen Yugoslavia Zambia Zimbabwe

Address:  Required

City or Town:

State, Province or Region:  Required - select - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip or Postal Code:

Email:  Required Invalid email

Confirm Email:  Required Emails do not match

Password:  Required

Confirm Password:  Required Passwords do not match

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Questionnaire

(1) Have you ever been convicted of a game violation?  Required Yes No

(2) Have you ever been convicted of a felony?  Required Yes No

(3) In order of preference, what do you like to hunt?  Required

(4) What do you hunt with?  Required

(5) Have you ever worked at a retail promotion?  Required Yes No

Which one(s)?

(6) Have you ever been employed in the outdoor industry?  Required Yes No

With who?

(7) Have you ever worked at a trade or consumer show?  Required Yes No

Which one(s)?

(8) Have you ever given a seminar?  Required Yes No

On which subject(s)?

(9) Do you belong to any conservation groups?  Required Yes No

Which one(s)?

(10) Have you ever participated in a calling contest?  Required Yes No

What type(s)?

(11) Are you a competitive shooter?  Required Yes No

What type(s)?