Name :
Address :
Telephone No.:

Check all that apply	First Choice	Second Choice
** 2012 Any Deer Rifle
** 2012 Any Antlerless Deer
** 2012 Archery (any deer)
** 2012 Muzzleloader (any deer)
**2012 White-tailed Deer Double Tag (buck + doe)
*2012 Trophy Bull Elk
*2012 Young Bull Elk
** 2012 Cow Elk
* 2012 Cow Buffalo
*2012 Trophy Bull Buffalo
*2012 Young Bull Buffalo
*2012 Spring Turkey Non Tribal and Tribal Member
**2012 Fall Turkey Tribal Member Only
*2012 Package Deer
**2012 Pronghorn Archery

Applications are not transferable. You may indicate a second choice in case first choice is unsuccessful.  You can put multiple first choices.  
A photocopy of driver’s license and a $5.00 non-refundable application fee for each first choice.
must accompany application. Applications are non-transferable. 

*  Drawing to be held March 19, 2012
** Drawing to be held August 1, 2012

　You may apply for the drawing as group of two persons maximum.

    Mail application and application fee to:

     Lower Brule Department of Wildlife, Fish and Recreation
    PO Box 246
    Lower Brule, South Dakota 57548
    Phone : 605-473-5666