Name
Phone (Daytime)
Address
Phone (Evening)
City
E-mail
State Zip
Best time to contact you in your time zone?
   
Morning Noon Night  
Do you prefer phone calls or e-mail? Phone Email
 
  Do you have dates planned to visit Alaska?
Yes No

If yes, when?

If not, when do you want to come?

How long will you stay?

How many people in your group?

Name & age of each group member
 
What game species do you want to hunt for? (Choose all that apply)

Brown Bear Black Bear Caribou
Moose Sitka Black Tailed Deer Dall Sheep
Mountain Goat Muskox Roosevelt Elk
American Bison    

 

Are you looking for a concentrated experience in one are or a broad sampling across Alaska?
Where do you want to hunt? Choose all that apply.
South Central:
South East:
South West:
Interior:
Wasilla
Juneau
Bethel
Fairbanks
Palmer
Sitka
Dillingham
Glenn Allen
Willow
Yakutat
King Salmon
Delta Junction
Talkeetna
Ketchikan
Unalaska
Circle
Valdez
Haines
Togiak
Bettles
Cordova
Wrangell
Sand Point
Barrow
 
Craig
Adak
Unalakleet
 
Petersburg
Tok
     
Nome
 
Choose the type of hunting experience that you are seeking
(Choose all that apply) Guided Unguided
       
What are your accomodation preferences? Lodge Cabin RV/Camper Tent Hotel
       
Rate your level of expertise on traveling in Alaska from 1 - 10 (1 being no experience.)
       
Rate your level of hunting experience of your party from 1 - 10 (1 being no experience)
 
Do you prefer to drive or fly between destinations?
Drive Fly
 
What is your per person budget?
$ 200 / day $300 / day $500 / day
$700 / day $1000 / day $1500 / day

What other types of services are you interested in?
All Inclusive Spa Restaurant Rental Car
Grocery Store Exercise Room Taxi

Are you interested in other experiences?
Cultural Mountain Climbing Fishing Museum
WildlifeViewing Sea Kayak Local Nightlife Flight Tour Hiking
Whitewater Rafting Bird Watching Glacier Tour
Other

Will you need help arranging speciality services?
Doctor Pharmacy Film Developing
Other
   
Will you be taking the meat home?
Yes No
Are you interested in getting a trophy mount?
Yes No


Will you be making your own reservations or using a travel agent? If you are using a travel agent what is their name, address, and phone number?
  Travel Agent Name  
  Phone  
  Address  
  City  
  State Zip  

Which airline are you using to fly to Alaska (if applicable)?
Airline: Alaska Northwest Delta Continental
Other

Do you intend to move or buy a vacation home in Alaska?
Yes No

Are you a subsriber to Fish Alaska Magazine?
Yes No

Are you a subscriber to Hunt Alaska Magazine?
Yes No