ROUGH COUNTRY OUTFITTERS & GUIDES, LLC

JIM & DEB SCHELL

P.O. Box 973, Glenrock, Wyoming 82637

Phone 307-436-2304 Fax 307-436-8021

www.roughcountryoutfitters.com

	Yes, I wish to book a hunt! Please reserve a hunt date for me! No, I can not book at this time, but keep me on your mail list!
Last Name
First Name
Intl
Mailing Address
City
State
Zip Code
Physical Address
Day Phone
Night Phone
Hair
Eyes
Weight
Height
DOB
Social Security
Type of hunt desired
Cost
Preferred Hunt Dates
# of people in Party
Men
Women
Amount of deposit paid $1000.00 per person date of deposit
Do you have any health problems limiting your physical activity

The undersigned, fully recognizes that there is an element of risk in any hunt, adventure, sport or activity associated with the outdoors, and specifically assumes all risk and liability therein, and is fully capable of participating in the activity said above.
Today's Date

Jim & Deb Schell P.O. Box 973 Glenrock, Wyoming 82637 Phone: 307-436-2304 Fax: 307-436-8021
Rough Country Outfitters

Email Jim and Deb Schell