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Sign me up!  I want to be part of ______________________________________________
                                                                                                            (file in the name of the Patrol)


NAME ___________________________________________________________


ADDRESS _______________________________________________________


CITY ____________________________________  STATE ________ ZIP/POSTAL CODE___________


TELEPHONE (                )  _______________________________     Number of people with you _________________


email _____________________________________________ @ _____________________

Please include $300 per person deposit with this form.  Enclose check or credit card (circle below)

                        VISA                    MasterCard                  Discover

____ ____ ____ ____/ ____ ____ ____ ____/ ____ ____ ____ ____/ ____ ____ ____ ____


Expiration Date ___________ / ____________    Security code from the back of card _______________

Sharkhunters
P. O. Box 1539
Hernando, FL 34442

phone 352-637-2917
FAX 352-637-6289

sharkhunters@earthlink.net

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