Waterfowl U.S.A. Convention Registration Form

A 50% non-refundable deposit is required to hold your reservation. Your balance must be paid in full by August 1, 2008. Anyone with an unpaid balance, as of this date, will be considered to have cancelled their reservation and will be replaced with someone on our waiting list. Cancellations after August 1, 2008 will not be entitled to a refund.

Registrant Information
Full Name: ___________________________________
Chapter: ___________________________________
Position: ___________________________________
Address: ___________________________________
City: ___________________________________
State: ___________________________________
Zip Code: ___________________________________
Email: ___________________________________
Phone: ___________________________________
Gender: ___________________________________
Height: ___________________________________
Weight: ___________________________________
Hair Color: ___________________________________
Eye Color: ___________________________________
DOB: ___________________________________
SSN: ___________________________________
Drivers Lic. #/State: ___________________________________
Hunter Safety #/State: ___________________________________
Room Request
____ Smoking Room Requested
____ Non-Smoking Room Requested

We will make every effort to satisfy room requests, but cannot guarantee them.
Registration Type
____ Full Registration With Private Room $649
Covers all costs including 3 nights lodging, 3 morning Canada goose hunts, continental breakfasts before hunts, Saturday Night Banquet and Awards Dinner, and evening dinners. Hunting license is NOT included.

____ Full Registration With Private Room and Addition of Non-Hunting Spouse or Companion $759
All of the benefits of "Full Registration With Private Room" and you can bring your non-hunting spouse or companion. This will cover all costs of meals and evening activities for your non-hunting spouse or companion. Hunting license is NOT included.

____ Full Registration (Double Occupancy) $549
Covers all the benefits of "Full Registration" but if you share your room with another hunter, you will both save $100 off of the registration fee. Hunting license is NOT included. (Example: Double Occupancy = $549 + $549)

____ Registration Without Hunting (With Private Room) $349
Covers all of the benefits of "Full Registration" except for hunting.

____ Registration Without Hunting (Double Occupancy) $249
Covers all the benefits of the "Registration Without Hunting" but if you share your room with a friend who is also not hunting, you will both save $100 off of your registration fee. (Example: Double Occupancy = $249 + $249)
Payment Information
Card Type: ___ VISA ___ MC ___ AMEX ___ DISC
Card Number: _________________________
Exp. Date: _____ / _____
Signature: _________________________
Please Mail Completed Registration and Payment to:
Waterfowl U.S.A.
National Headquarters
Box 50
The Waterfowl Building
Edgefield, SC 29824

OR
FAX TO (803) 637-6983