Sportfishing Charters
Captain Dan Golden	231-398-9073	e-mail -FirePlugCharters@hotmail.com	517-456-4055

Confirmation Form

Dear FullName,

Thank you for sending us your reservation. You will be contacted by e-mail or telephone once your reservation has been reviewed and confirmed.

Name: FullName
Address: Address Address2
City: City
State: State
Zip Code: ZipCode
Work Phone: WorkPhone
Home Phone: HomePhone
E-mail: Email
FAX: Fax
Credit Card Type: CreditCard
Credit Card Number: CCNumber
Credit Card Expiration Date: ExpDate
Date Requested: Date1
Alternate Date: Date2
People Attending: People
Trip Length: R1 - R2
Comments or Questions: Comments

If any of this information is incorrect, please go back to the feedback form and change it, then re-submit the form.

We thank you for choosing Fire Plug Charters and are looking forward to
chartering your fishing adventure.

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