Your Name (required)
Number of Dependents:
List Names, Ages, and Gender of Each
Mobile Phone Number:
Income Level: Less than $100,000$100,000-$129,000$130,000-$159,000$160,000-$189,000above $190,000
List the name, address, and phone number for two personal references:
Do you own an ATV? YesNo
How many years have you been a hunter?
Describe your past hunting experience:
What types of hunting do you customarily participate?
Deer YesNo If yes, how many time per year?
Duck YesNo If yes, how many time per year?
Dove YesNo If yes, how many time per year?
Quail YesNoIf yes, how many time per year?
Squirrel YesNoIf yes, how many time per year?
Rabbit YesNoIf yes, how many time per year?
TurkeyYesNo If yes, how many time per year?
What type of hunting do you intend to do on Duckpond Plantation?
Do you own a campter or other facility you will want to place on the Duckpond Plantation? YesNo
Do you own a boat you will want to utilize on the property? YesNo
Do you now belong to any other hunting clubs? YesNo
If yes, list hunting club name, type of hunting and location:
Describe in your own words why you want ot join Duckpond Plantation Hunting Club.
I hereby grant my consent to Duckpond Plantation, Inc. contacting the above references requesting a commercial credit check on me.