Method 12 Entry Form

Home , Musk deer

SAFARI CLUB INTERNATIONAL Animal ______K K Method 12 Remeasurement? Yes No Former Score ______Record No. ______Date Taken ______Month / Day / Year DNA# When appliable Entry Form K Rifle K Handgun K Muzzleloader K Bow K Crossbow K Picked Up Place Taken ______For tusks of hippopotamus, Country State or Province pigs, water deer and musk deer Locality ______

Guide ______Hunting Co. ______

GPS: ______(If Available) Latitude (If Available) Longitude - Hippopotamus, Wild Boar, Bush Pig, Red River Hog and Asian Pigs measure two lower tusks

- Warthogs, Giant Forest Hog, Water-deer, Musk Deer measure two upper tusks

Method 12

I. Length of Tusk L ______⁄16 R ______⁄16

II. Circumference of Tusk L ______⁄16 R ______⁄16 at Largest Place Hunter ______III. Total Score ⁄ 16 How you want your name to appear in the Record Book ⁄

Membership No. ______e-mail ______

Address ______For Babirusa Method 12

______City State Zip Country I. Length of Tusk - upper L ______⁄16 R ______⁄16 Ph. (_____ ) ______(______) ______(______) ______Home Business Fax II. Length of Tusk - lower L ______⁄16 R ______⁄16 I certify that, to the best of my knowledge, I took this animal without violating the wildlife laws or ethical hunting practices of the country or province in which I hunted. I also certify that, to the best of my knowledge, the laws of my country III. Circumference of Tusk L ______⁄16 R ______⁄16 have not been violated by my taking or importing this animal. at Largest Place-Upper Free-ranging K Yes K No (REQUIRED) Signature ______IIII. Circumference of Tusk L ______⁄16 R ______⁄16 The acceptance or denial of all entries are at the discretion of Safari Club International, its at Largest Place-Lower Board and committees. Entries are subject to review by the Trophy Records Committee of SCI at any time. All photos and entries subitted to SCI become SCI’s property. V. Total Score ⁄⁄16 Submit to: Safari Club International 4800 W. Gates Pass Rd., Tucson, AZ 85745 USA. Active SCI Membership Required to submit an entry K Currently an active SCI member ID#______K 1st Entry Free (Only for new members who have never submitted an entry) K $35 Record Book processing fee (Membership Required) K $80 Record Book & Medallion Award processing fee includes shipping & handling K Membership K 1 Year Membership $65 Domestic / $90 International K 3 Year Membership $150 Domestic / $225 International To enter into Record Book and/or purchase a Medallion: 1) Add the appropriate entry processing fees together as necessary. (Fee includes shipping & handling.) 2) All entries must be complete, signed by hunter and accompanied by fees and photographs of the trophy. 3) Please Mark Free Ranging Yes K No K (Required) 4) 2 or more field photos must be submitted in order to process the entry. K For animals with branched antlers: include enough photos Official Measurer ______so that all tines can be clearly seen. K For a potential Top 20 entry please include an additional photo Measurer No. ______Email ______to be published online. 5) Clearly label back of photo with hunter’s name, species name, and date taken Day Measured ______Month Day Year We Accept: K MC K Visa K AMX K Discover K Diners Club Signature of Measurer ______Card Number Expiration Date US Currency only. Credit Cards Preferred. Entry fees are valid for 12 months from date For Office Use Only of form located in the lower right hand corner. Date Received: ______