Name:
Outfitter/Organization:
Ship To Address:
State:
Zip:
Mount Choice:
Additional Instructions:
Pheasant Order Form
Phone Number:
Best Time to Call:
Email:
"Serving the Hunter with Respect for the Hunted."
Wildlife Creations
13506 B Street Omaha, Nebraska 68144
402.896.6887 Toll Free: 877.788.3314
email:
[email protected]
City:
Bird to be Mounted:
Date to be Shipped:
Display Choice #1:
*Please make all choices that pertain to your mount. Choose from the drop down menus.
Display Choice #2:
Display Choice #3:
Display Choice #4:
Bird #1
Bird #2
Bird #3
Bird #4
Bird #5
Bird #6
Custom
Morning
Afternoon
Evening
Provided by Wildlife Creations
Provided by Customer
Wall Mount
Table Mount
Table and/or Wall mount
Face/Fly to the Right
Face/Fly to the Left
Driftwood
Oak Base
Walnut Base (Only Available on Mounts #2, #3, and #4)
Dirt Base with Habitat
Snow Base with Habitat
Custom
N / A