Guide/Outfitter - Client Input Form Name Address City State Zip Code Email Address Phone ND Fishing License Number Business Name Guide's Name Date(s) of Service Day 1 Date Waterbody County of Waterbody Day 1 Harvest Day 2 Date Waterbody Day 2 County of Waterbody 2 Day 2 Harvest Day 3 Date Waterbody Day 3 County of Waterbody 3 Day 3 Harvest Day 4 Date Waterbody Day 4 County of Waterbody 4 Day 4 Harvest Day 5 Date Waterbody Day 5 County of Waterbody 5 Day 5 Harvest Day 6 Date Waterbody Day 6 County of Waterbody 6 Day 6 Harvest Day 7 Date Waterbody Day 7 County of Waterbody 7 Day 7 Harvest Additional Comments (if applicable) Guide Signature Signature Date Customer Signature Signature Date from Customer 3 + 12 = Submit