6030-88 Street Suite 103, Edmonton AB T6E 6G4 Phone: 780.414.0249 Fax: 780.465.6801
APPLICATION FOR BIG GAME OUTFITTER-GUIDE PERMIT
Name (Individual or Registered Company)
Corporate Access#
Name of Company Contact
Date of Birth (YYMMDD)
Address
City/Town
Business Phone
Postal Code
Residential Phone
Cell
Email Address
Fax
Website
Holds Commercial General Liability Insurance & Deposit Protections through APOS group plan. Yes ☐
No ☐
If not, provide proof of $5,000,000 coverage and $10,000 deposit protection.
I consent to having my contact information posted on the APOS website & in the Directory Yes ☐
No ☐
(Individual or Shareholder of a Registered Company)
Are you a Resident or Non-Resident of Canada who is a Canadian citizen or admitted to permanent
No ☐
residency on Canada? Yes ☐
Are you 18 years of age or older? Yes ☐
No ☐
Current Guide Designation #
Have you held a Big Game Guide’s Designation in Alberta?
Yes ☐
No ☐
Wildlife Identification Number
Your personal information is collected and stored by APOS in accordance with the Wildlife Act and
Regulations, the Alberta FOIP Act and APOS Bylaws.
__________________________________________________
Signature of Individual or Shareholder of Registered Company
Permit cost: Big Game Outfitter-Guide Only
Big Game Outfitter Game with Bird Game
______________________
Date
$262.50 (includes GST)
add $131.25 (includes GST)
6.2016