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KOA Membership Application
Name  
Business name  
Address  
Address (cont.)  
City  
State  
Zip code  
Telephone #  
Fax #  
Email  
Web Page Address  Http://www.
Services you Provide
Species you guide for:
 
Whitetail Deer
Mule Deer
Antelope
Turkey *
Predator *
Goose
 Pheasant
Quail
Prairie Chicken
Duck
Dove
Fishing
Additional Guided Trips:
  Preserve Hunts
Photography
Bird Watching
Other Types of Game: * Indicate type here
 
Deer Rifle Unit #'s
             
Deer Archery Unit #'s
             
Turkey Unit #'s
    
Your Area Representative
   
Your Area Senator
   
Please send in the Following
  A copy of Kansas Driver's License
Proof of liability Insurance must be provided
$350 Membership fees

You must also Pass a Background check and Meet KOA Board Approval
 
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