2013 Pronghorn Antelope and Elk Hunt Information - Arizona Game ...

state or country but who lists this state as their homeof record at the time of applying for a license, permit,tag, or stamp.E enter your valid Arizona hunting license numberfor the year in which the hunt for which youare applying occurs. The hunting license numberconsists of two letters and six numbers. You maypurchase a license through the draw by completingthe License Application Form at the bottom ofthe application and submitting payment with eachof your applications if you are not licensed.F enter your department i.d. number (formerlycalled sportsman i.d.). This number is for thoseindividuals who choose to use a Department issuedI.D. Number instead of a social security number totrack bonus points or for non-U.S. citizens. This isa permanent number and is to be used on all huntapplications. Your I.D. Number (if different fromSSN) is vital to track your bonus points and to ensurethat you receive the proper credits. Using adifferent number may result in your not receivingproper bonus point credits. An I.D. Number may beobtained by calling the Department. You must stillprovide a valid SSN even if you provide a valid DepartmentI.D. Number. See #3.G enter your correct full name (last name first),your p.o. Box or home mailing address, city,state and zip code.H please list a telephone number where youcan be reached. You are not required to enteryour telephone number.I each individual applying, or an appointedindividual, must sign the appropriate applicationsection.COMPLETE 10-16 ONLY IF APPLYING FOR ALICENSE.J Enter M for Male, F for Female.K Enter your weight in pounds.L Enter your height in feet and inches.M Enter the appropriate abbreviation forhair color:BLD - BaldBLK - BlackBLN - Blonde BRN - BrownHow to Apply for the DrawLICENSE FORM • A PERMIT-TAG FORM • A Date of Birth( m m ) ( d d ) ( y y y y )Check OneFederal Requirement: Social Security Number1 2B1 2 1 9 1 2Non-residentCArizona Hunting License Number1 2 3 2 34 5 6 7(must include the 2 letter prefix)Department I.D. Number if different from SSNDResidentX XE2 3 4 5 6 7 FxLast Name FirstM.I.Daytime Phone NumberSAM Signature (Must be signed by or for Applicant A)Complete only to applyfor a Hunt License GRY - GrayRED - RedSDY - SandyWHT - WhiteN Enter the appropriate abbreviation foreye color:BLK - Black BLU - Blue BRN - BrownGRN - Green GRY - Gray HZL - HazelO Enter the number of years and/or months thatyou have been a resident of Arizona. (See page 10,Completing Your Hunt Permit-tag Application Form,# 4, to determine if you qualify.) No entry is requiredhere for a non-resident applicant.P Check the box next to the license type whichyou wish to purchase. if you are requesting a licenseon more than one application, you mustspecify the same type of license on each applicationand include the license fee with eachAPPLICANT AIX _____________________________________________Hunting Res-G A Hunt/Fish Non-Res-F D Hunt/Fish Res-F B Youth Hunt/Fish Non-Res-Y E Youth Hunt/FishAFirst ChoiceHunt NumberRes-Y C Second ChoiceHunt NumberThird ChoiceHunt NumberFourth ChoiceHunt NumberFifth ChoiceHunt NumberDO E GJ O EAddress2 3 4 5 EB E ACHS TCity State Zip CodeM YT OWNA Z 8 5 5 6 04 8 H05 6 7 1 91 2 SIGN ON LINE BELOWLECheck SAM P LEPSex Weight Height Hair Eyes AZ ResidencyFt. In. Yrs. Mos.J K L M N ONo licenserefund will beissued if youare not drawn.In order to participate in the draw, you must have or apply for a license. If you are not licensed at the time yousubmit your Hunt Permit-tag Application Form, you must apply for a license on each application you submit bycompleting the license portion of the application form. The license fee must be included with each application. Seethe applicable hunt regulations for license fees.application. You will not be issued or chargedfor more than one license. You must possess a licensethat is valid on the last day of the applicationdeadline for that draw. If you do not have a licensethat meets that requirement, you must completethe License Application Form for each genus appliedfor and include payment for a license witheach application. If you are drawn for more thanone genus, only one license will be issued in yourname. If you are not drawn, you will be refundedonly the hunt permit-tag fee. You must possess orobtain a license to participate in a drawing or to purchasea bonus point. No refunds will be issued forlicense or application fees if you apply in a drawingand are unsuccessful in the drawing. if you do notcheck the box next to the license type you wishto purchase, your application will be rejected.see page 7 for fee information.Help Arizona’s Big Game Species: Donate to the Big Game Habitat FundArizona’s array of big game species is one of themost diverse in the nation. By contributing to theBig Game Habitat Fund, you become our partner inconservation, helping the Arizona Game and Fish Departmentimprove wildlife habitat across the state.Funds derived from hunter donations are used toconduct habitat improvement projects for all of Arizona’sbig game species. To view some of the projectsaccomplished with these funds please visit the Department’swebsite at: www.azgfd.gov/landowner.You can become part of Arizona’s success story bydonating a portion of your refund to big game habitatprojects. Do so by entering the amount of yourdonation in the space provided. This is a voluntarydonation which will be deducted from your refund.Q Enter the amount you wish todonate in this block. This donationwill be subtracted from your refundif you are eligible for a refund.QIf unsuccessful, I wish to donate $_______.___ from my refund to the Big Game Habitat Fund.2014 Pronghorn Antelope and Elk Hunt Draw Information 11