Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. POWER OF ATTORNEY / HUNTER PROFILE Name *FirstLast(Please use full legal name)AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome PhoneCell PhoneEmail *Date of BirthSocial Security NumberDelivery InformationName *FirstLastContact Number Checkbox Email Signature Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLifts are required *YesNoGENIUS LOGISTICS INC. I HEREBY GRANT POWER OF ATTORNEY TO GENIUS LOGISTICS INC., AND IT'S AUTHORIZED EMPLOYEES TO ACT AS MY AGENT FOR CLEARANCE THROUGH U.S. CUSTOMS AND BORDER PROTECTION (CBP), U.S. FISH & WILDLIFE (CAC SUS CBP/PPQ AGRICULTURE) OF MY PERSONALLY HUNTED GAME TROPHIES AND PERSONAL EFFECTS. Checkbox Items *I understand that checking this box and signing my name below constitutes a legal signature confirming that I acknowledge and agree to the terms and conditions available warrant the truthfulness of the information provided.SignatureClear SignatureDateCaptcha *What is 7+4? Submit POA