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2012 Spring Snow Goose Conservation Order – VERMONT
Permit and Survey Form

At the end of the special spring conservation order for snow geese, you are required to take a few minutes to accurately and completely fill out a survey online, even if you did not participate or bag any geese.

To complete the survey online, click "Fill Out Survey", enter your name and permit number, and click "Submit". After you complete the survey, click "Submit Survey". If you prefer, you may also print a copy of this survey, fill it in during the season and mail it to Vermont Fish and Wildlife Department, 111 West Street, Essex Junction, VT, 05452. Please complete and submit the survey by May 15, 2012 




First Name                         Last Name
Date of Birth
(mm/dd/yyyy)

2012 Spring Snow Goose Conservation Order – PERMIT REQUEST

To obtain a permit, fill in the needed information and click "Submit". A permit will automatically be created which you can print out and carry with you while hunting. Please be sure to sign it!
LastNamePermit Number
First                         MI       Last                              Suffix
Address
City                                    State    Zip
Phone
(XXX) XXX-XXXX
DOB
(mm/dd/yyyy)
VT Hunting License Number
email
How many days did you participate and how many Vermont snow geese did you personally shoot during each of the time periods listed below:
Permit_NumberMarch 11- 15March 16-31April 1-27Total
Days Participated
Geese Shot and Retrieved
Geese Downed and Not Retrieved
How many of the total number of birds you shot were taken with the aid of the following special regulations:
     Geese shot after sunset:
     Geese shot with aid of electronic call:
     Geese shot with 4th,5th,or 6th shell in magazine:
CountyDays ParticipatedGeese Shot
and Retrieved
Addison
Bennington
Caledonia
Chittenden
Essex
Franklin
Grand Isle
Lamoille
Orange
Orleans
Rutland
Washington
Windham
Windsor

Will you participate in the 2013 spring snow goose conservation harvest?Yes    No

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