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Possum's Trading Post Outfitters
possum@possumstradingpostoutfitters.com (417)343-5853
Mail this application to: Possums Trading Post Outfitters 826 E. Audrey Lane Pheonix, AZ 85022
Name:___________________________________________________________________________
Billing Address:___________________________________________________________________
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:______________________________________________________________________ |