Fishing License Information 2010

Party Name: ______________________ Lake:______________________ Vacation Date: _______________

*If you can help speed up the check in process please fill in this fishing license information, fax this form to:

1-705-899-2155 two weeks prior to arrival. Thank you!
(Children under the age of 18 do not require licenses.)
Please FAX between 8AM and 6PM EST only!!!!!

Name:		Name:
Address:		Address:
City:		City:
State/ Prov:	Zip/ Postal code:	State/Prov:	Zip/ Postal code:
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Date of birth: Y______ M______ D______		Date of birth: Y______ M______D______
Name:		Name:
Address:		Address:
City:		City:
State/ Prov:	Zip/ Postal code:	State/Prov:	Zip/ Postal code:
Height:	Color eyes:	Height:	Color eyes:
Date of birth: Y______ M______ D______		Date of birth: Y______ M______D______
Name:		Name:
Address:		Address:
City:		City:
State/ Prov:	Zip/ Postal code:	State/Prov:	Zip/ Postal code:
Height:	Color eyes:	Height:	Color eyes:
Date of birth: Y______ M______ D______		Date of birth: Y______ M______D______
Name:		Name:
Address:		Address:
City:		City:
State/ Prov:	Zip/ Postal code:	State/Prov:	Zip/ Postal code:
Height:	Color eyes:	Height:	Color eyes:
Date of birth: Y______ M______ D______		Date of birth: Y______ M______D______