1.             Did you purchase a Unit 8 Trophy  Deer tag in 2010 ?          Yes (     ) No (     )

2.             Did you hunt?                                         Yes (     )                 No (     )

3.             Were you successful?                             Yes (     )                 No (     )

4.             If yes, did you kill a:

                Mule Deer                               OR          Whitetail                

5.             How many points did the buck have on the right and left sides?

                Right                                       Left                        

6.             How many days did you hunt?                             

7.             Were you unable to retrieve any deer that you shot?             Yes (     )                 No (      )

8.             Name (please print):                                                                                                                                              

9.            Comments:______________________________________________________________________________ 

2011 Trophy Deer

(Please print CLEARLY)

“Enrolled Tribal Members Only”

ARE YOU OVER 55 YEARS OLD?                    Yes (     ) No (     ) 

HAVE YOU COMPLETED A HUNTER EDUCATION COURSE? Yes (     )    No (     )

NAME:                                                  PHONE NUMBER: (                )                               -                                         

P.O. BOX:                               CITY:                                                      STATE: ZIP:                                       

DATE OF BIRTH:                                                                SIGNATURE:                                                                      

WEST END     ______                  EAST END ______

FOR OFFICE USE ONLY

RECEIVED BY:                                                                                     DATE: