Reservation form  - Marion Academy Deer Hunt    

January 16th -18th, 2009 

Name of Purchaser (if different from hunter)  _____________________          

Name of Hunter____________________________________________

Address__________________________________________________           

City________________________State__________Zip______                                             
        

Telephone__________________________________________ 

e-mail address________________________________   

Reservations

      ____ Base Package @ $900.00    $_________

    ____ Private Room @  $ 50.00     $_________ (limited availability of private rooms)

                            Total amt. due     $_________         

Mail Reservation Form To:             Mail Tax Receipt To (if different from above)

   Marion Academy Deer Hunt                 ___________________________

   2002 Prier Drive                                   ___________________________

   Marion, Alabama  36756                       ___________________________

Approximately 75% of this package price may be used as a tax deductible contribution.  Upon your request, a

certificate will be mailed back to the address used above.