Page 25 - NORDIC SAFARI CLUB CHAPTER NEWSLETTER 1st QUARTER 2021

SAFARI CLUB Animal _______________________________________ Date Taken ___________
Month / Day / Year
INTERNATIONAL Remeasurement? q Yes q No Former Score ________Record No. ______________
Method 11 q Rifle q Handgun q Muzzleloader q Bow q Crossbow q Shotgun

Entry Form q Airgun - Bullet or Shaft (circle one) q Picked Up

Country
State or Province
For horns of wild sheep, bharal, aoudad and tur Place Taken _________________________________ ____________________________
Locality ___________________________________________________________________
(GMU, Mtn Range, Ranch, City, Town)
Guide _____________________________________________________________
Hunting Co. ______________________________________________________________
Circumference Measuring

1st Quarter 2nd quarter 3rd quarter

For Cyprian, Konya and Armenian mouflon, all bharal or blue sheep,
aoudad, east Caucasian tur and many mid-Caucasian tur, use the
3-inch rule (see Measurer’s Manual).

Hunter ______________________________________________________________________ I. Length of Horn L __________ ⁄8 R _______ ⁄8
How you want your name to appear in the Record Book
Membership No. _____________________Phone __________________________
E-mail ______________________________________________________________
II. Circumference of Horn
Address _____________________________________________________________
____________________________________________________________________ B (At base) L __________ ⁄8 R _________ ⁄8
q Anonymous Submission - Members who choose “Anonymous Submission” will
have their Record Book ID number replace their name in the Record Book.
I certify that, to the best of my knowledge, I took this animal without violating C-1 (At 1st quarter) L __________ ⁄8 R _________ ⁄8
the wildlife laws or ethical hunting practices of the country or province in which I
hunted. I also certify that, to the best of my knowledge, the laws of my country have C-2 (At 2nd quarter) L __________ ⁄8 R _________ ⁄8
not been violated by my taking or importing this animal.
Free-Range q or Estate q (REQUIRED)
C-3 (At 3rd quarter) L __________ ⁄8 R _________ ⁄8
SIGNATURE (REQUIRED) ______________________________________
q Under 22 years of age check here. Subtotal L __________ ⁄8 R _________ ⁄8
The acceptance or denial of all entries are at the discretion of Safari Club
International, its Board and committees. Entries are subject to review by the Record
Book Committee or SCI at any time. All photos and Record Book entries submitted
to SCI become SCI Property and it is impermissible to use or copy a photo from any III. Total Score ⁄8
SCI Record Book without the express written consent of Safari Club International.
Methuselah Entry q Yes q No Age: ______
Submit to: Safari Club International 4800 W. Gates Pass Rd., Tucson, AZ 85745 USA
Active SCI Membership Required to submit an entry
q 1st Entry Free (only for members who have never submitted an entry)
q $35 R.B. Entry Fee
q $45 R.B. Entry Fee & photo upload to the Online Record Book
q $80 R.B. Entry Fee and Medallion Plaque
q $90 R.B. Entry Fee, Medallion Plaque & Photo Upload
q $135 R.B. Entry Fee, Photo Medallion Plaque & Photo Upload
New & Renewal Membership Domestic / International
q 1 Year Membership $65 / $90
q 3 Year Membership $150 / $225
q 1 Year Youth Membership $25
q 3 Year Youth Membership $75
q 5 Year Youth Membership $125
For acceptance into the Record Book: Measurer ___________________________________________________________
ALL ENTRIES MUST BE COMPLETE, SIGNED, ACCOMPANIED BY FEES
AND A FIELD PHOTOGRAPH (additional photos required for antlered game Date Measured ____________________ Measurer No. ______________________
that clearly show all tines). Month / Day / Year
q Donate to the SCI Record Book Wildlife Conservation & Anti-Poaching Fund E-mail _____________________________________________________________
$_________
_______________________________________ __________________ Signature _________________________________________________
Card Number Expiration Date
US Currency only. Credit Cards Preferred COPYRIGHT © SAFARI CLUB INTERNATIONAL 1/21