| Name of person who caught the fish: |
|        * First: |
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|        * Last: |
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| * Species: |
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|   Size and/or Weight: |
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* Date Caught:
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|   Location fish was caught: |
|        * Town / City: |
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|        * State / Province / Territory: |
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|        * Country: |
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|          Body of Water: |
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|   Bait type, Lure, or Fly name: |
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|   Feel free to elaborate on your catch: |
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  Were you staying at a fishing resort, on a   charter boat, out with a fishing guide, etc.? |
Yes     No |
|          Name of Resort, Charter, Guide, etc.: |
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|          URL of Resort, Charter, Guide, etc.: |
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|   Personal Information: |
|          Home Town: |
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|          Home State, Province, or Territory: |
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|          Home Country: |
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|        * Your email address: |
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|       | I own the rights to this photograph, and I would like to grant permission to Sportsman's Resource, Inc. to use the photograph within its web site on pages other than those in the Photo Gallery. Sportsman's Resource, Inc. will only display the photograph in a positive manner, and can use the photograph on a page to help represent a state, province, territory, country, species, on its home page, etc. |
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* Required fields
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