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153 Fish Camp--Alaska Salmon fishing

2010 REGISTRATION

for WAITING LIST

Registrations and camp selections are based on the date and time of registration.

Group requests can be made by calling Mark.

  1. Please provide the following registration information:

    First Name
    Last Name
    Street Address
    Address (cont.)
    City
    State
    Zip/Postal Code
    Work Phone
    Home Phone
    E-mail

  2. Emergency Contact Name:


  3. Emergency contact number:


  4. First choice of camp date:

  5. Second choice of camp date:

  6. Number of Halibut trip(s) you are considering:


  7. Know anyone else on this trip? Please list name(s):


  8. Do you have any special needs (mobility, diet, etc.):

this page last updated on 06/10/2008