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814-592-6683

Black Hills Hunting Leases for the best hunting in Central, PA

 

 

 

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To apply for a permit please complete and submit the form below. We will send you the indemnity form to sign via postal mail and return with your permit fees.

OR

 you may print this form: [click here to download PDF form]

and send it with your check or money order to:

Black Hills Management, LLC

P.O. Box 255

Reynoldsville, PA 15851

 

Permit Fees are: Adult - $175 Youth (17 & under - $25)

 

Your Information:
           
Name  

Today's Date MM-DD-YYYY  
Address   I have had a permit before  
City   New, first time applicant  
State   Sponsors Name (If applicable)  
Zip        
Telephone        
Youth Information: - If you application does NOT include a youth skip this section.
Youth Name   Youth D.O.B - MM-DD-YYYY  
Vehicle Identification:
Vehicle #1 info:
Make   Model  
Year   License  
      Color  
Vehicles #2 Info:
Make   Model  
Year   License  
      Color  
           
ATV Information:  ATV Stickers are $35 each.
How many stickers do you need?   DNCR Registration #  
      Liability Insurance Policy #  
Additional Information
Would you like a property map?   Would you be willing to assist in posting prior to the hunting season?  
Are you willing to assist in patrolling?        
           
    - After clicking "SUBMIT" Your application will be sent to us to be reviewed and the Indemnity form will be sent via postal mail for you to sign and return with your fees.
           
           

 

 

© Copyright 2008 - Black Hills Management