Name :
Address :
Telephone No.:

Check all that apply	First Choice	Second Choice
** 2010 Any Deer
** 2010 Any Antlerless Deer
** 2010 Archery (any deer)
** 2010 Muzzleloader (any deer)
**2010 White-tailed Deer Double Tag (buck + doe)
*2011 Trophy Elk
*2011 Young Elk
** 2011 Cow Elk
* 2011 Cow Buffalo
*2011 Trophy Buffalo
*2011 Young Buffalo
*2011 Turkey
*2011 Grassrope Deer
*2011 Package Deer
**2010 Pronghorn Archery
**2010 Pronghorn general

Applications may indicate a second choice if initially unsuccessful.  
A photocopy of driver’s license and a $5.00 non-refundable application fee 
must accompany application. Applications are non-transferable. 

*  Drawing to be held March 14, 2010
** Drawing to be held August 2, 2010
　

A maximum of 2 applicants per group.

For information, bookings and reservations, contact:

     Lower Brule Department of Wildlife, Fish and Recreation
    PO Box 246
    Lower Brule, South Dakota 57548
    Phone : 605-473-5666
    E-Mail : lbwfr1@wcenet.com