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Affidavit Web Form

You must send your affidavit within 30 days of your catch!
 
*Caught By: *Your Email Address:  
     
 
*Species:   *Length:   *Girth:
   
 
*Type Rod:   *Type Reel:   *Line Type / Test:
   
 
*Beach Where Caught:   *Date Caught: (MM/DD/YY)    
     
 
*Witness   *Witness Phone # or Email    
     
 

 
 
 
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