Application for Northland Fish & Game Hunting Permit

First Names:

Surname:

House/Unit Number: Street/Road:

Suburb/RD:

Town/City: Postcode:

Phone Number:

Mobile Number:

Email:

Date of Birth:

Game Bird Licence Number:

Firearms Licence Number:

Vehicle Registration:

Dog Registration Number (if any):

Dog Breed (if any):

Dog Name (if any):

Credit Card details: Visa/MasterCard

Credit Card Number:

Expiry Date: 00/00

CRN Number: (3 digit number on back of card)

Email form to: [email protected]

Please DELETE permits you DO NOT require:

Fish & Game Jack Bisset Wetland Whangarei $25.00 Wetlands Flaxmill Wetlands Dargaville $45.00 Kawakawa Wetlands Kawakawa $6.00 Borrow Cut Wetland Hikurangi $6.00

Department of Conservation No matter how many locations as stated below are requested at any one time, there is a fee of $6.00 Wairua River Wildlife Management Reserve Hikurangi Manganui River Wildlife Management Reserve Waiotira Waitangi Wetlands Kerikeri Tokerau Beach Cape Karikari Lake Ohia Cape Karikari Puwheke Recreation Reserve Cape Karikari Rotokawau Lakes Cape Karikari Sweetwater Lakes Kaitaia Kaimaumau/East Beach Houhora Lake Taeore Kaitaia Onepu Block Kaitaia Te Arai Reserve Kaitaia Te Ramanuka Kaitaia Paxton Point Te Kao Ahipara Reserve Kaitaia Epikauri Herekino

Exotic Pine Forests Summit Forest New Zealand Ltd $50.00 New Zealand Ltd Te Hiku/Aupouri Forest Kaitaia/Houhora (Weekends only)

Northland Forestry Permits $50.00 One permit will cover the following forests in Northland Region:

Matariki/Rayonier Forests: Glenbervie Forest, Whangarei. Puhipuhi Forest, Hikurangi. Topuni Forest, Wellsford Northland Forest Managers Ltd Various throughout Northland (All Dogs must be Kiwi Aversion trained to gain access.) Hancock Forest Management (NZ) Ltd Various (60,000 plus hectares) throughout Northland (Weekends only and all Dogs must be Kiwi Aversion trained to gain access.)