Game Bird Regulations - Oregon Department of Fish and Wildlife
Game Bird Regulations - Oregon Department of Fish and Wildlife
Game Bird Regulations - Oregon Department of Fish and Wildlife
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MAIL TO: ODFW-Licensing • 3406 Cherry Ave. NE • Salem, OR 97303-4924 • 503-947-6100 • FAX 503-947-6117 or 6113<br />
2012 - 2013<br />
GAME BIRD<br />
MAIL ORDER<br />
APPLICATION<br />
LAST NAME (Please PRINT) FIRST MI<br />
MAILING ADDRESS<br />
CHARGE CUSTOMERS MAY FAX THIS APPLICATION TO 503-<br />
947-6117. WE ARE UNABLE TO ACCEPT TELEPHONE ORDERS .<br />
p RESIDENT p NONRESIDENT<br />
CITY STATE ZIP CODE<br />
( ) ( )<br />
HOME PHONE NUMBER – AND – CELL PHONE NUMBER<br />
Driver’s Lic . # ____________________________ State_____________<br />
See instructions on page 37 .<br />
PHOTOCOPIES OF THIS<br />
PAGE MAY BE USED<br />
Issue Date __________<br />
Initials_____________<br />
DEPARTMENT USE ONLY<br />
p Controlled Fall Turkey: Party Size: 4<br />
p INDIVIDUAL p PARTY MEMBER p PARTY LEADER<br />
1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice<br />
p Controlled Sage Grouse: Party Size: 4<br />
p INDIVIDUAL p PARTY MEMBER p PARTY LEADER<br />
1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice<br />
p Sauvie Isl<strong>and</strong> — Hunt Period A: Party Size: 4<br />
p INDIVIDUAL p PARTY MEMBER p PARTY LEADER<br />
1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice<br />
EMAIL ADDRESS<br />
SOCIAL SECURITY NUMBER (required)<br />
HUNTER/ANGLER ID #<br />
MALE<br />
p Sauvie Isl<strong>and</strong> — Hunt Period B: Party Size: 4<br />
p INDIVIDUAL p PARTY MEMBER p PARTY LEADER<br />
1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice<br />
FEMALE<br />
HUNTER LICENSE NUMBER (if already purchased)<br />
DATE OF BIRTH (MM/DD/YYYY)<br />
p Sauvie Isl<strong>and</strong> — Hunt Period C: Party Size: 4<br />
p INDIVIDUAL p PARTY MEMBER p PARTY LEADER<br />
1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice<br />
p Sauvie Isl<strong>and</strong> — Hunt Period D: Party Size: 4<br />
Reminder: HIP worksheet (page 46) must be filled out to comply with HIP requirements.<br />
• License fees, tag fees <strong>and</strong> reservation hunt application fees are NOT refundable. See<br />
page 6 for license fees <strong>and</strong> descriptions .<br />
p INDIVIDUAL p PARTY MEMBER p PARTY LEADER<br />
1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice<br />
• To apply for reservation or permit hunt(s), you must purchase a hunting license<br />
at this time, or indicate your hunting license number above .<br />
• Check each hunt series type. List hunt choice(s) from pages 14, 15, 38-41.<br />
• You must indicate if you are an individual, party member or party leader by checking<br />
the appropriate box . For party applications, complete the section to the right <strong>and</strong> the<br />
section on the bottom <strong>of</strong> this form .<br />
p Sauvie Isl<strong>and</strong> — Hunt Period E: Party Size: 4<br />
p INDIVIDUAL p PARTY MEMBER p PARTY LEADER<br />
1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice<br />
Mark choices(s) <strong>and</strong> fill in fee(s): Application Fee: $4.00 per hunt period/area<br />
p $ _________ Combination License (Residents Only)<br />
p $ _________ Hunting License(Resident/Nonresident/Juvenile)<br />
p $ _________ 3-Day Nonresident <strong>Bird</strong> Hunt Lic . Start Date: _____________<br />
p Sauvie Isl<strong>and</strong> — Hunt Period F: Party Size: 4<br />
p INDIVIDUAL p PARTY MEMBER p PARTY LEADER<br />
1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice<br />
p $ _________<br />
p $ _________<br />
p $ _________<br />
p $ _________<br />
Sports Pac or Juvenile Sports Pac (Residents Only)<br />
Resident Senior Citizen License<br />
Resident Upl<strong>and</strong> <strong>Game</strong> <strong>Bird</strong> Validation<br />
Resident Waterfowl Validation<br />
p Sauvie Isl<strong>and</strong> — Hunt Period G: Party Size: 4<br />
p INDIVIDUAL p PARTY MEMBER p PARTY LEADER<br />
1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice<br />
p $ _________ Nonresident <strong>Game</strong> <strong>Bird</strong> Validation<br />
p<br />
p<br />
p<br />
$ _________<br />
$ _________<br />
$ _________<br />
Spring Turkey Tag or Juvenile Turkey Tag (Statewide)<br />
p Second Statewide Tag — p Bonus Turkey Tag<br />
p General Fall Turkey Tag — p Controlled Fall Turkey Tag<br />
p Fern Ridge WA Hunt: No Parties<br />
1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice<br />
p $ _________<br />
p $ _________<br />
Permit <strong>and</strong> Reservation Application Fees<br />
p B<strong>and</strong>-tailed Pigeon; p Black Brant; p Sea Duck;<br />
p Controlled Sage Grouse; p Reservation Hunts<br />
NW Goose Permit (if eligible)<br />
p Klamath WA Hunt: Party Size: 4<br />
p INDIVIDUAL p PARTY MEMBER p PARTY LEADER<br />
1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice<br />
p $ _________ Voluntary Contribution for Predatory Animal Control<br />
p $2; p $5; p $10; p $20; p $50; p $100<br />
p $ $2.00 Shipping <strong>and</strong> H<strong>and</strong>ling Fee<br />
$ GRAND TOTAL<br />
COMPLETE THIS SECTION IF APPLYING FOR A PARTY HUNT: One person must be designated as the party leader . Party size for sage grouse, fall turkey,<br />
Sauvie Isl<strong>and</strong> <strong>and</strong> Klamath WA is limited to four . NO party applications are allowed for Fern Ridge .<br />
Party Leader’s Hunting License #<br />
PARTY LEADER’S NAME DATE OF BIRTH HUNT SERIES<br />
1 2<br />
PARTY LEADER’S NAME DATE OF BIRTH HUNT SERIES<br />
1 2<br />
PAYMENT METHOD (DO NOT SEND CASH) p Check/Money Order to ODFW enclosed . p MasterCard p VISA<br />
Signature Credit Card Number Exp . Date<br />
<strong>Oregon</strong> <strong>Department</strong> <strong>of</strong> <strong>Fish</strong> <strong>and</strong> <strong>Wildlife</strong> 45
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