Outdoor Wilderness Adventures

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Bass Pro Shops Hunting & Fishing Directory Program
OUTDOOR WILDERNESS ADVENTURES
Registration/Agreement Form

Fill out this form and submit online then print and mail or fax to our office.


CONTACT INFORMATION

Date (mm/dd/yy):
    

Name of your service or lodge:
    

In-Season Information

Street address:
    

City:
    

State:
    

Zip:
    

Telephone:
    

Fax:
    

Off-Season Information

Street address:
    

City:
    

State:
    

Zip:
    

Telephone:
    

Fax:
    


Website address:
    http://

Email address:
    


START OF APPLICATION


1. Would you like to participate in Bass Pro Shops Hunting & Fishing Directory Program?
    Yes No

    If yes, please indicated the type of participation in which you are interested:
     Associate Outfitter/Guide (Participation is free.)
     Prefered Outfitter/Guide (Participation: $250 one time charge. Payable when this form is submitted.)
     Premier Preferred Outfitter/Guide (Participation: $1500 one time charge. Payable when this form is submitted.)

2. May we contact you by using your e-mail address?
    Yes No

3. Would you like to participate in Bass Pro Shops Buying Club for Outfitters, Guides & Lodges?
    Yes No

4. Are you interested in receiving information Regarding Bass Pro Shops Affiliate Program?
    Yes No

5. Type of accommodations you offer: (check all that apply)
     Lodge
     Cabins
     Tents
     Camps
     Other

    Other:
    

6. Types of Fishing available: (check all that apply)
    Fresh Water:
     Fly casting
     Spin casting
     Bait casting

    Salt Water:
     Fly casting
     Spin casting
     Bait casting

7. Types of Hunting available: (check all that apply)
     Big Game
     Rifle
     Bow and Arrow
     Black Powder
     Pistol
     Water Fowl
     Upland Birds

8. Types of species to Hunt or Fish: (List all)
    Fresh Water Fish:
    

    Salt Water Fish:
    

    Big Game:
    

    Water Fowl:
    

    Upland Birds:
    

9. Liability Insurance:
    Insurance Company:
    

    Policy Number:
    

10. Write a brief paragraph (between 50-100 words) describing your services and facilities exactly as you want it to appear on our website:
    

11. Are you a member of or have been endorsed by any of the following organizations/associations? (check all that apply)
     Trout Unlimited
     Intl Trophy Hunting & Fishing Club
     Quail Unlimited
     Top Rated Surveys
     Ducks Unlimited
     America Outdoors
     National Hunting Dog Association
     Blacks Wing & Clay
     Orvis
     Grays Sporting Journal
     National Wild Turkey Federation
     Rocky Mountain Elk Foundation
     Big Game Hunting Guide
     Other

    Other:
    


Agreement & Indemnification

If you are submitting this form online, please return this entire form to us via fax or U.S. Mail. We must have a signed copy on file.

If a member of Outdoor Wilderness Adventures staff coordinates the booking, and I am signed up as an Associate or Preferred Member, then the commission will be 15% for all U.S. States and Canada. If the booking involves an international destination, then the commission will be 20%.
I agree to indemnify and hold harmless Outdoor Wilderness Adventures, Bass Pro Shops, and the Publisher and Printer of the Magazine/Directory, including their principals, employees and agents, from any and all claims, lawsuits, costs, expenses (including reasonable attorney fees) settlements, judgments and liability arising from the acts or omissions of in the fulfillment of any sale of services or goods through this Directory Program.
And finally, I understand and agree that you have the right to not only edit the text in my listing as you see fit, but also to reject my application for participation at your sole discretion.

Please Sign Below:

_____________________________________________
Signature

______________________________________________
Printed Name

_________________________
Date


After this form is completed, please be sure to sign it and return it to us via US Mail (because we need your signature on file). If you are registering for the Premier Preferred or the Preferred Program you can make your payment by sending a check or money order with this completed form.

Please mail your completed form to:

Marv Fremerman
Outdoor Wilderness Adventures LLC
669 West LaSalle St.
Springfield, Missouri 65807

If you have any questions please call us, toll-free: 1-866-228-6116.


CODE OF ETHICS


I, the undersigned, hereby agree to the following:
  • I agree to be fully insured and bonded and promise to adhere to the Federal, State and local regulations that apply to my profession.
  • I agree to utilize my experience and skills to satisfy my clients, and commit myself to consistently perform my job in an excellent manner.
  • I agree to continuously service the equipment I use so that it will always be in excellent condition. This includes boats, motors, tents and other equipment required in servicing my clients.
  • I agree to market my services to potential clients in a professional manner and will not mislead them regarding the services I offer or the cost of those services.
  • I agree to service my clients with the highest quality food and facilities available in harmony with the local environment and culture.
  • I agree to do my best to preserve the delicate balance between wildlife, habitat and humans.
  • I commit myself to the preservation of the worlds fish and game species so that the joys and wonders of a wilderness adventure can be experienced by children for generations to come.
_______________________________________
Signature

____________________
Date


SAMPLES


Note: In order to be listed on the website or in the Magazine/Directory, you must comply with the following:
  • YOU MUST LIST A SPECIFIC CITY AS YOUR HOME BASE OF OPERATION
  • YOU MUST BE SPECIFIC REGARDING SPECIES, AND ALL SPECIES MUST APPEAR AT THE TOP OF YOUR LISTING.
  • PRICES QUOTED SHOULD BE SEPARATE AND APPEAR AT THE BOTTOM OF YOUR LISTING.

Hunting Only: Black Mountain Ranch (H)
McCoy, Colorado
Elk and Mule Deer Hunts
Quality ranch hunts at Black Mountain Ranch in McCoy, Colorado. Over 1000 private acres surrounded by BLM and National Forest land in the heart of some of the best Mule Deer and Elk Terrain in the state.  Comfortable accommodations, great food, experienced guides, gentle horses.
Bonded and insured Colorado Outfitters #1343.
Nowell May.
800-967-2401
Package: 5 days guided (2 on 1) combination hunts.
$2795.00

Fishing Only: AMAZON PEACOCK BASS SAFARI (F)
Manaus, Brazil
Peacock Bass Fishing
With River Plate Anglers you will travel about one hour from Manaus, Brazil via Cessna Caravan float plane into virgin waters where large populations of giant peacocks remain unmolested. It is common for guests to catch 20-40 peacocks per day with many 8 to 10 pounds, up to 26 pounds. Of course, there is always a chance for a real monster. Anglers enjoy NOT roughing it in either a unique, upscale mobile camp or a 76' fully air-conditioned riverboat.
800-211-4753
Package: 7 Night/6 Day fishing (double occupancy). Air travel and tips not included.
$3480.00

Hunting and Fishing: KYLLO BROS. OUTFITTING 1954 (H&F)
Hudson's Hope, British Columbia
Moose/Mountain Goats/Caribou/Black Bear/Grizzly Bear/Dolly Varden/Rainbow/Bull Trout Spring and Fall Hunting. Our exclusive 2400 square mile hunting area is located in the Musqaw range of the Rocky mountains. Hunt for moose, mountain goats, caribou, black bear, and grizzly bear. Summer fishing for Dolly Varden and Bull trout to 20 lbs. and Rainbow trout to 5 lbs.
Charter Member of the Northern B.C. Guides Association.
250-783-5248
Package: 10-Day hunt - $4900+
5-Day fishing - $1350+


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