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Tailchaser Charters
Trip Information Request Form

* Represents Required Fields
Contact Information:
* Name:   
* E-mail Address:   
Contact Phone (optional):   
Best time to call:    AM   Afternoon   PM/Evening  Other: 

If you would like information mailed to you, Please fill out your address below:
Address:   
City:    State:     Zip:  

Date of Trip:   
For additional days please place in the comments section.
Trip Length:    AM Half(8-12)   PM Half(1-5)   3/4 Day(6 Hrs)
  Full Day(8 Hrs)    Undecided
How many anglers in your party:     Adults      Children(under 12)

* Please tell me what kind of fishing you are interested in: (check all that apply)
  Wreck     Reef     Offshore     Flats     Backcountry
  Night Tarpon     Deep Dropping     Livebaiting     Kite Fishing

* What species would you like to fish for? (list all that interest you)
  Snapper   Grouper   Tarpon   Permit   Dolphin
  Cobia   Shark   Tuna   Kingfish   Sailfish
  Wahoo   Barracuda   Amberjack   Other:  

What type of equipment would you prefer to use:
  Fly     Spinning     Ultralight     Conventional

Comments:

Enter the code above here:

Thank you very much for taking the time to fill out this form. I will contact you as soon as possible to discuss your trip.

Contact Us Toll Free: 1-877-290-4413

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