Name
(Required)
First
Last
Address
(Required)
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Phone
(Required)
Email
(Required)
Please check that your email is correct. Your assigned blind and permit will be sent via email.
Hunting/Sporting Customer ID
(Required)
Request blinds
Select your first, second, third, and forth choice for hunting dates and time of day. Then select two blinds you want to request for each of your 4 choices.
First choice
(Required)
October 10 (opening-noon)
October 10 (noon–closing)
October 12 (opening-noon)
October 12 (noon–closing)
October 13 (opening-noon)
October 13 (noon–closing)
October 14 (opening-noon)
October 14 (noon–closing)
Request blinds for your first choice
(Required)
Select exactly
2
choices.
1
3
4
5
6
7
8
9
10
11
Second choice
(Required)
October 10 (opening-noon)
October 10 (noon–closing)
October 12 (opening-noon)
October 12 (noon–closing)
October 13 (opening-noon)
October 13 (noon–closing)
October 14 (opening-noon)
October 14 (noon–closing)
Request blinds for your second choice
(Required)
Select exactly
2
choices.
1
3
4
5
6
7
8
9
10
11
Third choice
(Required)
October 10 (opening-noon)
October 10 (noon–closing)
October 12 (opening-noon)
October 12 (noon–closing)
October 13 (opening-noon)
October 13 (noon–closing)
October 14 (opening-noon)
October 14 (noon–closing)
Request blinds for your third choice
(Required)
Select exactly
2
choices.
1
3
4
5
6
7
8
9
10
11
Forth choice
(Required)
October 10 (opening-noon)
October 10 (noon–closing)
October 12 (opening-noon)
October 12 (noon–closing)
October 13 (opening-noon)
October 13 (noon–closing)
October 14 (opening-noon)
October 14 (noon–closing)
Request blinds for your forth choice
(Required)
Select exactly
2
choices.
1
3
4
5
6
7
8
9
10
11