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Customer Registration
Legacy Mountain Taxidermy LLC
(269)282-6973
www.legacymountaintaxidermy.com
109 South Cleveland Ave.
Galien, Michigan, 49113
customerservice@legacymountaintaxidermy.com
* Indicates required question
Email
*
Record my email address with my response
Harvesters Name
*
Your answer
Name of individual dropping off.
(If different than harvester).
Your answer
Phone Number
*
Your answer
Mailing Address
*
Your answer
Hunting license number.
*
Your answer
Driver's License Number
Your answer
Species of Animal
*
Your answer
Origin of Specimen: State, County, Country
*
Your answer
Date of Harvest
*
MM
/
DD
/
YYYY
Method of take.
*
Firearm
Bow or Crossbow
Trap
Game Breeder
Other:
Required
Deer check in registration information.
*
Your answer
Method of Deposit
Cash
Venmo
Credit Card
ACH
Clear selection
I understand that a 50% deposit is due at time of drop off.
Yes
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