PHOTOGRAPHY BLIND REQUEST DESOTO NATIONAL WILDLIFE REFUGE Name

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PHOTOGRAPHY BLIND REQUEST DESOTO NATIONAL WILDLIFE REFUGE 1. Name: _____________________________________________________________________________ 2. Address: _____________________________________________________________________________ 3. Phone Number: Home: Work:__________________________ 4. Date and time you anticipate arriving on and departing from the refuge: Time:______________________ Pick Up Key at Visitor Center: Date: Time: DEPART: Date Time Arrive in blind: Date Time Return Key to Visitor Center information desk: Date 5. Year, Model, Color, and License Number, of vehicle you will be driving:________________________ 6. Number of persons using photo blind: ________________ 7. Intended use of photographs? _________________________________________________________ RULES FOR PHOTOGRAPHERS USING DESOTO NATIONAL WILDLIFE REFUGE 1. Permits will be issued to serious amateur, press, and commercial photographers interested in wildlife and wildlands photography, unless this activity conflicts with refuge objectives. 2. Commercial photography must be approved by the Regional Director and a Special Use Permit submitted at least one month in advance. 3. Requests for non-commercial photography should be submitted at least one week in advance. 4. If the photo blind is located in a closed area of the refuge a Closed Area Permit must be obtained from, and approved by the refuge. (Place permit on dashboard while on refuge). You are only allowed into the closed area as far as the photoblind. SEE ENCLOSED MAP(S) and DESCRIPTIONS. 5. Keys must be picked up and returned to the Visitor Center between 9:00 a.m. and 4:30 p.m. Photographers wishing to enter the refuge before 9:00 a.m., or leave after 4:30 p.m., may pick up their key and permit the afternoon before, or return the key the morning after, the permit date. No exceptions will be made to this rule. 6. Foot and auto traffic which will disturb waterfowl or other wildlife is not permitted. __________________________________________________________________________________ Signature of photographer Date A COPY OF THIS REQUEST WILL BE RETURNED TO YOU Approving Official: Date: ______ RETURN THIS REQUEST TO: DeSoto National Wildlife Refuge 1434 316th Lane Missouri Valley, IA 51555 Telephone: 712/642-2772

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