Make sure you have written in the ledger the same quantity of birds you are paying for with this form entry. These will be cross-checked by MN NAVHDA.

This payment form is ONLY for training leads and authorized individuals. If you are part of a group PAY THE GROUP LEADER.

First Name

Last Name

e-mail address (for receipt)

Training Group/ Leader Name (for tracking-if different than above)

Quantity Pigeons

Quantity Chukar

Quantity Ducks

Quantity Pheasant

Pigeon Total

Pigeon Total:

Chukar Total

Chukar Total:

Duck Total

Duck Total:

Pheasant Total

Pheasant Total:

Grand Total

Grand Total: