Please enable JavaScript in your browser to complete this form. - Step 1 of 2Company InformationDonating Company: *Outfitter's Name *Email *Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryWebsite / URL *Phone *FaxNextDonation InformationFair Market Value *Donation Type *Big Game HuntFishing TripBird HuntNumber of Hunter(s) *Number of Non-HunterNumber of Angler(s) *Number of Non-AnglerSpecies Sought *Free Ranging *YesNo (If no, list size of enclosure below)Size of Enclosure if not Free RangingNumber of Guides *1 x 12 x 1OtherNoneLocation of Hunt *Trophy Fees Included *Medal Class Included *BronzeSilverGoldBest AvailableUp to (Please List Below)Medal Class Included (Up To)Upgrade Cost *Actual Hunt/Fishing Days *Range of Dates Trip Can Be Scheduled *Can Trip Be Taken in Alternative Years *Yes (If yes, please list)NoAlternative Years AvailableType of Accommodations Included *Total Cost of License/Permit *Total Cost of Tag Fees *Is Permit by Drawing or Lottery *YesNoIf Yes, Application DeadlineIs Firearm Permit Required *YesNoN/AFirearm Permit Provided *YesNoN/ACost of Extra Hunter(s)/Angler(s) *Cost of Non-Hunter(s)/Angler(s) *Is Field Prep Included (I.E. Caping, Skinning, Salting) *YesNoMethod of Take *Hunter's ChoiceRifleBowHandgunCrossbowMuzzleloaderShotgunGame That Can Be Added *Can Trip Be Extended *YesNoCost Per DayAre Special Transportation Charters Required *YesNoTypeAirGroundOtherEstimated CostIncludedYesNoAre Any CITES permits required *YesNoIncluded? *YesNoWhat Other Fees Incurred by Hunter / Angler *Dipping, Packing, Expediting or Other Charges? *Any Other Government Fees or G.S.T *YesNo CostGovernment Fees CostTrip Arrival / Departure Point *List Other Amenities Included *CommentsFile Upload Click or drag files to this area to upload. You can upload up to 10 files. Please Include Brochure, Price List, Promotional Write-up for Promotional Materials, and any PhotosTerms and Conditions *I Agree *Donors that make donations of hunts or fishing expeditions that are provided by others pursuant to SCI’s Booking Agent Guide Service Company Rules & Regulations will be subject to the Auction Program Rules and Regulations. Donation must align with the product and/or service within the normal business domain of the contracted exhibitor. See the Donor Benefit Guidelines published by SCI for benefits of donation. By signing, Donor agrees to comply with the terms of the Convention policies, rules and regulations, including the Auction Program Rules and Regulations.Clear SignatureEmailSubmit
