Because of our high demand to be in the WileyOutdoorSports.com Trophy Room, only WileyOutdoorSports.com customers or site members will be considered. If you would like to become a member, please visit our membership page. By becoming a member, you are able to submit your trophy for the Trophy Room and take advantage of WileyOutdoorSports.com member discounts and specials.

Hunter’s Information
First Name_________________________ Last Name __________________________
Address _______________________________________________________________
City _____________________________ State __________________ Zip __________
Phone Number (______) - __________ email _________________________________

Trophy Information
Type of Animal __________________________________________________________
Where was the Animal taken (City, State, County, Country, etc…) __________________
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Date of Kill ______________________________________
Time of Day _____________________________________
Size of Horns/Antlers _____________________________________________________
Weight__________________________________________
Special Markings___________________________________________________________

Equipment Used Information
Bow or Gun Type (model, caliber, draw weight, etc...) ____________________________
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Camo___________________________________________________________________
Bullet/Broadhead__________________________________________________________
The story behind the hunt: (A good story always helps. Used additional pages if necessary)
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I certify that the animal(s) in the photograph was harvested in a legal, ethical manner. I also give WileyOutdoorSports.com the right to use this information and photos for use in their Trophy Room.

Hunter’s Signature: __________________________________________________

Return form to:
Kathy Carter, Web-Site Manager
WileyOutdoorSports.com
1820 6th Ave. S.E. Unit U
Decatur, AL 35601
1-800-494-5397