Possum's Trading Post Outfitters possum@possumstradingpostoutfitters.com (480)440-8152 Mail this application to: Possums Trading Post Outfitters PO Box 145 Rosevelt, UT 84066   Name:___________________________________________________________________________   Billing Address:___________________________________________________________________ City, State, Zip___________________________/_____________________/______________ Email:_______________________________ Re-print Email:_______________________________ Phone(s):___________________/____________________ Date of birth:___/____/_______ Total cost of hunt:__________50% Non-refundable Deposit:__________Check No.:________ Hunt requested:___________________________________________________________________ Date of hunt: _______________________________________No. of hunters in group:__________ Years of whitetail hunting experience: _________________________________________________ Ground hunt:_________ Low stand:_________Mid stand:__________High stand:_________ Are you a smoker? Yes______ or No_______ Health Problems: _________________________________________________________________   Special accommodations/disabilities/diet: _______________________________________________   _________________________Height:____________ Weight:___________ Shoe Size:___________   Emerg. contact:________________________ Phone:_______________ Relationship:___________ Today's Date:_______________________ Do you have Iowa preference points?____________ Hunters are responsible for personal hunting gear and licenses/permits.   Note: We cannot assure you of a spot until we have received your deposit.   Credit Card Details: Name on Card:_______________________________________________    Card Type:____________ Card Number:______________________ Expiration Date:____/____ CVN (last 3 or 4 digits on the back of the card (amex is 4 on the front bottom right)________ There is a 2.06% charge when paying via credit card. Signature:_____________________________________________________ Additional Comments:______________________________________________________________________