ANDERSONS
MOUNTIN'MAN
TAXIDERMY
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School Enrollment Form

Mountin’ Man Taxidermy Whitetail School

 

 

 

Name­­­­ ______________________________________________________________

 

Address_____________________________________________________________

 

City        ­______________________________State__________Zip______________

 

Phone  _______________________Emergency Contact_______________________

 

Date of Birth_________________________________________________________

 

Email   ______________________________________________________________

 

Prior Experience ______________________________________________________

 

____________________________________________________________________

____________________________________________________________________

Dates you wish to attend: (Please give more than one)

 

1st choice:______________________________________________________

2nd choice:______________________________________________________

 

 

Lodging Needed  (Circle one)      Yes       No________________________________________________________________________________________________________________________    (Information will be provided)

 

By signing, I agree to pay the $500 non-refundable deposit to hold my spot in Mountin’ Man Taxidermy’s whitetail course. I will not hold Mountin’ Man Taxidermy responsible if I am unable to attend the course.  I also acknowledge that the dates I requested to attend the course are not guaranteed, and that my deposit will be refunded if a date cannot be found to accommodate me.  My deposit will be refunded if Mountin’ Man cancels my scheduled course.

 

Name (Print) _____________________________ (Signature) ____________________________

Please enclose Money order non-refundable deposit in the amount of $500 to reserve your spot.  


Send payment to.Bill Anderson 2317 Kendall Rd. Kendall N.Y.14476

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