<p> STATE OF ALASKA DEPARTMENT OF FISH AND GAME APPLICATION for EDUCATIONAL PERMIT</p><p>PERMIT to possess game parts for EDUCATIONAL PURPOSES.</p><p>I, of (name) (organization or institution)</p><p>(address)</p><p>(telephone number) (fax number)</p><p>(cell phone number) (e-mail address) hereby make application for a permit to receive from the Alaska Department of Fish and Game and possess indefinitely the following items (attach additional sheets if necessary):</p><p>Species (Common or Scientific Name) Item Description (hide, skull, etc.) Number</p><p>Please describe the educational program or activities for which these items are being requested (attach additional sheets if necessary):</p><p>I certify that all statements entered on this application are true and that I will abide by all conditions and restrictions of a permit if issued,</p><p>(Signature) (Date) Completed applications should be submitted to: ADF&G, Division of Wildlife Conservation ADF&G, Division of Wildlife Conservation 333 Raspberry Rd. or 1300 College Rd. Anchorage, AK 99518 Fairbanks, AK 99701 </p>