Please fill out each indicated field. If it does not apply to you please fill in the blank with a “N/A”.
Any incomplete application will be considered VOID! Application Valid 04/01/13-03/31/15
Andrew Robert Foote
7/16/2013
Name: _______________________________________________________ Date: ________________________________________
(602) 319-9889
Phone: ________________________________
39314 North Laura Avenue
Street Address: ___________________________________________________________________________________
San Tan Valley
Arizona
85140
City: _________________________________ State: __________________ Zip: _____________________________ westernquackaddicts@yahoo.com Email: ______________________________________________________________
09/14/1995
Birth Date: __________________________________________________________
Duck call maker at Western Quack Addicts
Occupation: _________________________________________________________
SHIRT SIZE (Please Check ONE) Small
4-XL
Medium
5-XL
Large
X-Large
XX-Large
XXX-Large
If you consider yourself an avid hunter in any of these areas please check in the field indicated.
Dove
Duck
Goose
Deer
Crow
Pigeon
Turkey
Hog
Bear
N/A
Do you currently use or own any Hard Core products? ________________
If so, which items ____________________________________________________________________________________________
N/A
Do you participate in any hunting related forums or message boards? _______________
If, so which ones and what is the name you post under for each? _____________________________________________________
____________________________________________________________________________________________________________
Western Quack Addicts
Please list any other companies that you CURRENTLY pro-staff for? ___________________________________________________