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First Name
Last Name
Street Address

City
State
Zip
email
Do you presently own a motorboat?		Yes No
If yes, do you primarily operate in		Freshwater
		Saltwater
Do you primarily angle for		Recreation
		Tournaments
What is your primary fishing category?		Freshwater
		Saltwater
		Flyfishing
		Bass
Would you like to recieve a catalog of clothing and accessories?		Yes No