What is the name of your business?
*
Physical Address of business (Street, City, Zip)
*
Mailing Address of business
*
Same as physical address
Other (full address below)
Other:
Comments:
What type of business do you operate (select all that apply)
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Gas station
Convenience Store
Bait
Marina
Campground
Hotel
Other
Other:
If you have a website, enter here:
Phone number of business
Is there anything unique about your business or location that you want published? What do you want our readers to know about your business?
The following questions are for customer service and will not be published in the book.
Point of contact and relation to business (manager, owner, etc.)
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Phone number for point of contact
*
Contact email
*
Email
Purchase options available
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$100 Business mention in appropriate section and listing in index
$150 Above plus photo in appropriate section
$200 All above plus 1/4 page ad in separate section
I agree to pay Gem State Fishing to have the above information published in their guidebook. If book is not published by 1/1/2026 I will receive a full refund
*
Yes
No
I have made my payment to Gem State Fishing:
*
Yes
No
I would like my receipt by:
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US Mail
Email
No receipt needed
Both