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Name:
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Email Address:
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Address:
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City/State/Zip:
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Phone Number:
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County:
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Occupation:
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Year you began bowhunting:
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List the number and species of big game animals you have harvested with a bow:
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Have you completed the International Bowhunter Education Program (IBEP)? If yes, where and when?
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Have you ever been convicted of a federal or state game violation? If yes, please explain:
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Have you ever hunted in a suburban setting? If yes, where?
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Choose the Georgia counties you would like to hunt (Cherokee, Clayton, CObb, Dawson, Dekalb, Fayette, Forsyth, Fulton, Gwinnett, Hall, Henry, Rockdale, Walton):
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List all the hunting organizations you are a member of and any offices you hold or have held in these organizations:
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List three references (other then family) and their phone numbers:
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