Name: _____________________________________________________________________________________

Address: ___________________________________________________________________________________

City: _______________________________________ State: ________________ Zip: ______________________

Home Phone: __________________________________ Cell Phone: ___________________________________

Email Address: ______________________________________________________________________________

Date of Birth: ______________________________ Weight: ______________ Eye color: ___________________

Hair Color: ____________________________ Height: ________________ Sex: __________________________

Emergency Contact Name and Phone#___________________________________________________________

Hunt you are Booking: _________________ List Hunt Dates: _________________________________________

I ______________________ agree to book a hunt with Pure Outdoor Alliance, LLC and to be responsible for the entire balance of the hunt booked by stated payment terms.

I agree to follow the Rules & Practices both printed and posted of Pure Outdoor Alliance. I agree to follow the harvest restrictions of a mature buck with antler spread of at least 16” (typical of a rack that is outside the animal’s ears) and at least eight points or will pay the $500 penalty. I agree that any wounded buck will end my opportunity to harvest a buck at the discretion of the managers of Pure Outdoor Alliance. If a second buck is shot or wounded, the hunt is terminated.

I agree to pay a deposit of $______________ (50% down) to book my hunt.

Payments: 50% deposit is required at booking.

Balance paid in full 30 days prior to the hunt start date.

Signature: _________________________________________________________________________________

Print Name: __________________________________________________ Date: ________________________

Please complete booking contract and mail back to:


P.O. Box 232

Havana, IL. 62644