To receive your award you must snail mail your check to:
Jeff Blystone
2804 N. Union School Rd.
Independence, Mo. 64058
816-806-3574
Not over 8 of the points neccessary to win the Small Game Award may be made on any of the above indicated by *
First Name
Last Name
Street
City, State, Zip
Email
Phone # (3145551212) no spaces
Age
Not over 15 points may be made on any single kind of game.
Not over 23 points on any 2 kinds of game
All kills must be reported to the Chaiman within 90 days
A fee of $2.00 must accompany the first application for the Small Game Award
Select
Quantity
Badger, 6 points
Bullfrog, 1/2*
Groundhog, 6
Opossum, 2
Rabbit, 3
Raccoon, 5
Skunk,
(striped only) 2
Squirrel, 4
Weasel, 4
Crow, 6
Dove, 5
Duck, 5
Goose, 5
Pheasant, 3
Quail, 3
Legal Fish, 1
Turtle, 1
(not Terrapin)
Gar, 2
(must be landed)
<<< Enter EXACT Code, Case Sensitive
Small Game Report/Award Submission Form
..
Comments
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REQUIRED
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