Forms

Western Mount Work Order

Please print this page and mail to:

Wild Things Preserved Taxidermy
3036 Cheyenne Drive
PO Box 509
Colstrip, Montana 59323
(406) 748-4119

Western (European) Mount Work Order

Customer’s Name:_____________________________________________

Customer’s Address:___________________________________________

City:_____________________ State:_______________ Zip:__________

Phone Number: ( )__________________ □ Home □ Business

Best Time to Call:_________________________________________

License/Permit Number (ALS # in Montana ) :________________________________________

State/Country of Issuance:______________________________________

Location of Kill:_______________________ Date of Kill:_____________

Species:______________________________________________________

□ Male Quantity:_____ □ Female Quantity:_____

Delivery Information

□ Date Received:________________ □ Shop ID Tag #:___________

□ Customer Pick up Date:_____________ or □ To Be Shipped VIA ____

Date Shipped:__________

Shipping Address (If different from above)

Name:______________________________________________

Address:____________________________________________

City:______________________ State:__________ Zip:_____

We are not responsible for theft, fire, or other natural disaster. Additionally you will be contacted if damage to the mount is discovered that was not noticeable before Beetle Cleaning.

□ Mount Description

            □   Beetle Clean   □   Degrease/Whiten   □   Plasticize
            □   Habitat
                       □   Flat Wall Panel:___________________________________
                                    □   Oak
                                    □   Maple
                                    □   Other:______________________________________

                        □   Pedestal:   □   Wall   □   Table   □   Combination
                                    □   Oak
                                                □   Economy   □   Deluxe
                                    □   Maple
                                                □   Economy   □   Deluxe

Record of Payments – 50% down required

Date	Cash	Check #	Amount	Balance Due	Payment Received By (Initial)

I certify that the above mentioned mounts were taken legally and according to all State and Federal Laws and that I have adhered to all regulations and Fair Chase concerning same.

Signature of Hunter:_____________________________________________