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Ad Information Form for Texas Taxidermists
      Date: _____/_____/2004

Business Name -

Address -

City -                                                                                                             Tx,    ZIP:

Phone -

Contact Name -

Your E-mail -                                                           @

Your Web Site Link-             www.

COUNTY:


REGION:     ___ Panhandle     ___ Crosstimbers     ___ Hillcountry     ___ Post Oak
                        ___ Pineywoods     ___ Oak Prairie     ___ South Texas     ___ Pecos

Up to 30 words describing your business:
Your link & info ad will run for 12 months.

Make checks for $30.00 payable to 'Tom Hyatt' and mail to:

Judge Roy Bean Outdoors
attn:Tom Hyatt
952 W. Spring Creek Pkwy
Plano, Tx 75023