First Name
*
Last Name
*
State
Email
Phone
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How many years have you hunted?
How many years have you hunted
0
1-3
3-8
8+
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What states do you hunt
What game species do you hunt?
Are you part of any conservation groups?
What hunting equipment do you use?
What hunting equipment do you use?
Gun
Bow
Both
Other
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Are you currently sponsored by any companies? If yes explain
Have you ever had your hunting privileges revoked? If yes explain
Are you familiar with our hunt link program?
Yes
No
I want more info
Are you interested in our live webinars?
Yes
No
I would like more information
What Size Shirt Do You Wear?
S
M
L
XL
2XL
3XL
4XL
5XL
How did you hear about Cervicide?
Facebook
Instagram
Snapchat
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Website
Friend
Are you 18 or older?
YES
No
Do you align with our core values? (Check all that apply)
Hunt ethically
Obey hunting laws
Enforce safety
Respect fellow hunters
Empower new hunters
Promote wildlife conservation
I consent to receiving texts and/or emails from Cervicide
*
Yes
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If you are having issues submitting please make sure all fields are filled in. Text our Customer Service line with issues (717) 470-7903