Please complete the form below, print, sign and fax to: (956) 631-1962
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FISHING LICENSE FORM |
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| Group Leader Trip Date | |||
| First Name Last Name | |||
| Address 1 | |||
| Address 2 | |||
| City State Zip | |||
| Business Phone Home Phone Fax | |||
| E-mail Nationality | |||
| Age Height Weight Occupation | |||
| Date of Birth Passport # Marital Status | |||
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| Lodge Name | |||
| Arrival Date Departure Date | |||
| Pick up location in McAllen | |||
| Notify in case of emergency / phone |
| 1) Balance of any money owed for the hunt | 4) Signed and Executed Release of Liability* |
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| 2) Photocopy of Passport or Birth Certificate* | 5) Room assignment list (By Group Leader) | |
| 3) Photocopy of Driver's License* |
6) Any special requests or dietary constraints |
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| * Required
individual Information |
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| I hereby authorize the outfitter to process and obtain documentation under my name and representation from the following Secretaries: Foreign Affairs, SEMARNAP, National Defense, Tourism and/or any other authority to hunting in Mexico. |
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