Go Outdoors Georgia Online Licensing

Customer Information

All fields indicated with an ( * ) are required

Residency:*

I am a U.S. Citizen

I am NOT a U.S. Citizen

more information on citizenship

First Name:*

Middle Name:

Last Name:*

Suffix:

Gender:*

Birth Date:*

SSN:*

Hunter Safety Certification #:

Hunter Safety Certification State:

Hunter Safety Certification Country:

Check here if you attest to having taken the course but are unable to provide the number at this time.

Email:*

Email Opt-Out:*

Home Phone #:*

Home Phone Opt-Out:*

Mobile Phone #:

Mobile Phone Opt-Out:*

Physical Address

My Physical Address is the same as my Mailing Address

International Address

Street: *

Street 2:

City: *

State:*

Zip Code: *

Go Outdoors Georgia Licensing