7/28/2019 Nevada Big Game Application 2011

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2011 NONRESIDENT APPLICATION NEVADA BIG GAME HUNTSWILDLIFE ADMINISTRATIVE SERVICES, PO BOX 1345, FALLON, NV 89407-1345 or APPLY ONLINE www.huntnevada.com

For assistance call 1-800-576-1020 Monday thru Friday 8:00 a.m. to 5:00 p.m.APPLICATIONS MUST BE RECEIVED THROUGH THE MAIL OR ONLINE BY 5:00 PM (PST) APRIL 18, 2011

To allow you to have future access to our Internet Application website (results, etc.) please make up a four digit PIN Code for your

personal use.

Missing or incorrect information may cause rejection.

Sportsman ID/Soc. Sec. No.:

Name:

Birth Date (MM/DD/YYYY): Drivers License #and State:

Daytime Phone No.: ( ) Home Phone No.: ( )

Mailing Address:

(City/County/State/Zip):

Gender: Height (Ft/In): Weight: Hair Color: Eye Color:

Do not mix bonus point only code applications with hunter choice numbers in a category.

TYPE OF HUNT CATEGORY DEPTUSE HUNTER CHOICE NUMBERSRefer to the hunt application brochure before completing thissection. Any data written in this section will be keyed as anapplication for that hunt category.

Bonus

PointFee

Do notsubmit if

applying fortag

APP &

PREDATORFEES

NONREFUNDABLE

TAG FEEREFUNDABLE

ENTERFEEFOR

ADDITIONPURPOSES

ONLY

Antelope Horns Longer Than Ears

Includes 2251, 2261O $10 $313

Nelson (Desert) Bigho rn 3251 P $10 $1213

California Bighorn 8251 Q $10 $1213

Elk Ant lered 4251, 4256, 4261 R $10 $1218

Mountain Goat 7251 T $10 $1213

SSN required if purchasing a license Add License Fee - If not previously purchasedIf purchasing a 2011/2012 license mark a box below:

Hunting $142 Combination Hunt & Fish $199

Hunting $142 (Class 28) OR

Combination $199 (Class 40)

(refundable) (nonrefundable)Class 28 Class 40

Total fees for this application

PAYABLE TO NDOWMoney Order or Cashiers Check ONLY

NONRESIDENTS must attach proof of Hunter Education if you were born after January 1, 1960.CA license is not acceptable proof of Hunter's Education.

Mark the box if you want a hunting license fee ($142) refund. I understand I will not earn any bonus points in the hunts applied for this year.Refunds are not available for combination hunting & fishing licenses.

A Nevada hunting license number, valid MAR 1, 2011 - Enter below if you wish to donate all or part of your refund to theFEB 29, 2012, if previously purchased enter here: Operation Game Thief Program and/or Predator Management.

THANK YOU

ignature Datethe signator holder in signing this application, hereby state that I am entitled to this tag/license under the laws of the State of Nevada and that no false statement has been made by me to obtain this tag/license.

arental/Guardian Signature Dateequired for applicants 12-17 years of age; I have read NRS 41.472 in the 2011 Game Seasons and Application Regulations instructions.

Class # License # Year OGT Donations Only$

Predator Mgt Donation$