DELTA WILDLIFE
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MS DELTA FERAL SWINE CONTROL PROJECT
Applicant Information
*
Indicates required field
Name
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Best Time for a phone call?
*
Anytime
8am to 12pm
12pm to 5pm
After 5pm
TOTAL ACREAGE BEING ENROLLED
*
COUNTY PROPERTY LOCATED
*
BOLIVAR
CARROLL
CLAIBORNE
GRENADA
HOLMES
HUMPHREYS
ISSAQUENA
JEFFERSON
LEFLORE
QUITMAN
SHARKEY
SUNFLOWER
TALLAHATCHIE
WARREN
WASHINGTON
YAZOO
CHECK ALL THAT APPLY
Brief description of property
*
(IE: 100 acres of row crops, 25 acres of hardwoods, 10 acres of pasture, etc)
IF TRACT EXCEEDS 1 COUNTY, PLEASE LEAVE DETAILS IN COMMENT
*
IE: XX ACRES IN COUNTY 1, XX ACRES IN COUNTY 2
Please Check All That Apply
*
LESSEE
POC
LANDOWNER
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