Please enable JavaScript in your browser to complete this form. - Step 1 of 2Company InformationNew or Returning Exhibitor? *SelectNot An ExhibitorNew ExhibitorReturning ExhibitorDonating Company *Outfitter 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 / URLPhone *FaxNextDonation InformationFair Market Value *Donation Level *100% Donation70% DonationDonation Type *Big Game HuntFishing TripBird HuntNumber of Hunters *Number of Non-HuntersNumber of Anglers *Number of Non-AnglersSpecies Sought *Free Ranging?YesNo (If no, list size of enclosure below)Size of EnclosuresNumber of Guides1 x 12 x 1OtherNoneLocation of Hunt *Medal Class Included *BronzeSilverGoldBest AvailableUp To (provide 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 (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, Applicable DeadlineIs Firearm Permit Required *YesNoN/AIs Firearm 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 Day *Are Special Transportation Charters Required? *YesNoTypeAirGroundOtherEstimated CostIncluded? *YesNoAre Any CITES Permits Required?YesNoIncluded? *YesNoWhat Other Fees Incurred by Hunter / Angler * Number Class of Dipping, Packing, Expediting or Other Charges? *Any Other Government Fees or G.S.T *YesNo CostGovernment Fees CostTrip Departure/Arrival Point *List other Amenities Included *CommentsPhotos Click or drag files to this area to upload. You can upload up to 2 files. Checkboxes *I agree to comply with the Terms of the Convention Policies, rules, and regulations, including the Auction Program Rules and Regulations *Exhibitors 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 all provisions of those policies, the terms set forth on this form, and of the applicable Exhibitor Contract and Convention policies, rules and regulations, including the Auction Program Rules and Regulations. SCI reserves and retains the sole right to use this donation in anyway or manner whatsoever the SCI Auction Committee deems most beneficial to SCI. SCI also reserves the right to cancel a donation at any time if it is determined at a later date that the donation does not meet the general or minimum criteria or for any other reason. Donation deadline is September 1st. 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, Exhibitor agrees to comply with the terms of the Convention policies, rules and regulations, including the Auction Program Rules and Regulations.Signature * Clear Signature Submit