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Lease Information Form

Account Information
FIrst Name	Last Name
Email Address	Phone
Username	Password
About the Lease
Lease \ Ranch Name	Region (see map) -select region- Central East North Panhandle South West
County
Type Annual Seasonal Day Hunt	Acreage
NOTE ON PRICING - Add lease price OR price per hunter
Lease Price	Price Per Hunter
Number of Hunters	Number of Guests
Weapon Type Firearms Archery	Lodging Yes No
General Description
Game
Types of game that can be hunted (check all that apply) Whitetail Deer Mule Deer Turkey Dove Quail Hogs Varmits Waterfowl Exotics Fishing
Ammenities
Are there any ammenities on the ranch for hunters? (If not, what about camp sites, elect. and water?)
Contact Info
Entered information will be displayed to MEMBERS
Contact Name	Contact Email
Contact Phone (optional)