BAITNET.COM ENHANCED DATABASE LISTING ORDER FORM

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BAITNET.COM ENHANCED DATABASE LISTING ORDER
FORM Please fill out the form below and send a
check or money order for 10, US funds only,
to Andy Bartels BaitNet.com P.O. Box 324 La
Crosse, WI 54602-0324 Please fill out the
form below completely and accurately!
Owner/Manager Name (your name will not
appear on the website) __________________________
_______ Business name _________________________
_________________________________________________
Address _______________________________________
________________________________________
City ________________________________________
State ___________ Zip ____________ County
__________________________ Telephone (include
area code) (_____)__________________________ To
ll free number (_____)_______________________ Fa
x number (_____)_________________________ E-mai
l address _______________________________________
__________________________________________________
____ Internet address _________________________
__________________________________________________
_________________ Regular hours ______________
Dates ___________________________________________
___________________________ Special
hours1 ______________ Dates ____________________
__________________________________________________
Do you sell licenses (Y/N)? ____ Do you
sell convenience items (Y/N)? _____ Miles
to gas nearest station? _____ Nearby waters -
names ___________________________________________
_____________________________________________ __
__________________________________________________
__________________________________________________
_____ Primary fish species nearby
__________________________________________________
__________________________________ _____________
__________________________________________________
____________________________________________ Se
ll live bait (Y/N)? ____ Bait selection_________
__________________________________________________
_______________ ________________________________
__________________________________________________
_________________________ Sell tackle (Y/N)?
____ Tackle selection _______________________
________________________________________________
_________________________________________________
__________________________________________________
________