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1.	Month you would like to fish?	not sure?
2.	Specific Dates
3.	How Many People:
4.	What type of fish would you like to target?
5.	What river would you like to fish?
6.	What type of fishing would you like to do (Flyfishing, Driftfishing, etc):
7.	Specific needs?
8.	Average guest fishing ability
9.	What would you like to learn::
10.	Comments, Questions?	none
11.	Your Name:
12.	Your Company (if corporate account)
13.	Your Street:
14.	City, State Zip
15.	Phone:
16.	Email Address:

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