Bill Kron's RENTTOHUNT.COM hunting application
294-230th Street
PO BOX 148
West Branch, Iowa 52358
319-643-2654
319-430-8220 cell phone
EMAIL: BillKron@Lcom.net



NAME______________________________________________________________
     (First) (Middle Initial) (Last)

Occupation__________________________________________________________

LEGAL RES.____________________________________________________________

CITY________________________STATE__________________ZIP_____________

PHONE NO.(____)____________________COUNTY OF_____________________ 

RESIDENCE_______________________________________________________

AGE______HAIR COLOR__________EYE__________________ 

WEIGHT______________HEIGHT____________________

DATE OF BIRTH___________CORRECTIVE LENS REQUIRED(yes or no)__________

PLACE OF BIRTH_______________________________________

RESIDENCE SINCE______________________________________

Are you willing to harvest an antlerless(doe) deer in addition
to your harvest of an antlered buck deer?______________________

Are you willing to sign a liability waiver?(yes or no)_________________

Are you  willing to purchase a separate hunting liability insurance
policy, naming The Cedar County Historical Society as also insured
and provide us with a copy? (yes or no)_________________________

Your best hunting lease bid for Iowa 2010-2011 archery (or)and 
shotgun deer hunting season. _______________________________
Enclose 10% of your bid by check.

Signature and date__________________________________________