Hunt Registration Form

Upper Dry Creek Ranch
Hunt Registration Form

Print one application per individual in your group. Return via e-mail or postal service to :
Robert and Cheryl Cosner, 54746 Upper Dry Creek Road, Weston, OR 97886
Phone: (541) 938-6262 Email: cosner@bmi.net

First Name_______________________M.I._______Last Name________________________

Address___________________________City______________State____Zip______________

Day Phone: ( )___________________ Evening Phone: ( )_________________________

Cell Phone: ( )____________________Email_____________________________________

Hunting License Number_______________________Vehicle License Number_____________

Hunting Group Contact Person___________________________________________________

Names of Group Members______________________________________________________

___________________________________________________________________________

Hunt Details

Applying for : (circle species)

Whitetail/ Mule Deer Bear Cougar Coyote Turkey

Hunt Dates: 1st choice________________ 2nd choice________________

# of Days______________

Accommodations: (circle one)

Self contained camper or trailer Tent Hotel Accommodations

(Tent and camper/trailer space is available at the ranch at no charge. Hotel accommodations can be arranged by Upper Dry Creek Ranch or by the individual hunter. Hunters are responsible for all their own food and travel arrangements.)

Hunt Deposit
Personal Check___ Money Order_____ Cashier’s Check____ Credit Card via Paypal____ *

* We can accept your credit card via Paypal, our online merchant account. If you do not have a Paypal account, log on to www.paypal.com and open a FREE account. Our Paypal e-mail address is cherylynnestudio@yahoo.com