This Form is for the Full Flopper Fishing Buddy Web Site

You will need four favorite photos with captions, a list of up to 10 favorite family-friendly web-sites with URLs and descriptions, your favorite fishin' story, a list of fishin' sponsors and affiliations, and a wee bit about your family. Take your time -- detailed hints are given in smaller type after questions. And don't forget to take Flopper's Fishin' Favorites survey!

As a family-oriented web-site, WorldRecordBass.com reserves the right to edit (and/or crop) all written and photographic submissions for grammar and spelling, appropriateness issues, and space limitations. Once your form has been successfully submitted, you will see a "Thank you for submitting your Webpage Profile" page. This page will provide a link to our online store where you can pay for your purchase.

PERSONAL INFORMATION

Full Name:

Please use the name you use socially. In other words, if your full name and title is Dr. James T. Kirk, Sr., Ph.D. but you go by Jimmy Kirk as soon as you step into a fishin' boat, please fill-in "Jimmy Kirk."

Desired URL:

A URL is an address by which people access your web-page. URLs are all lowercase and use no word spaces. In the space above, replace NAME with what you wish to call your web-page. We recommend that you use your last name. URLs are given out on a "first come, first served" basis.

Example: http://www.worldrecordbass.com/fb/revell.html

Your E-mail Address:

City:

State (if inside US):

Country (if outside US):

Spouse:

Children's Names:

FOUR FAVORITE FISHIN' PHOTOS

WorldRecordBass.com assumes you have the written permission of every individual in these photos who is alive and identifiable, to publish their image. Each photo requires a 1- to 3-sentence caption. Please make sure your photos are well-exposed and in-focus.

FISHIN' PHOTOGRAPH NUMBER ONE:

Caption:

FISHIN' PHOTOGRAPH NUMBER TWO:

Caption:

FISHIN' PHOTOGRAPH NUMBER THREE:

Caption:

FISHIN' PHOTOGRAPH NUMBER FOUR:

Caption:

HOW TO SUBMIT YOUR PHOTOGRAPHS:

MY FAVORITE, FAMILY-FRIENDLY WEB-SITES

List up to 10 of your favorite web-sites. Include your personal web-site(s); business web-site(s); favorite/best fishin' web-sites; and/or the web-sites of sponsors, affiliations, or fishin' buddies. Each web-site you list requires a 1- to 3-sentence description.

A note about titles. Sometimes, a web-site's URL is the same as its title, as in the case of a site like Yahoo/yahoo.com. But sometimes the title is different than the URL, as in the case of a site like "http://www.jpl.nasa.gov." Here, the title of the site is "Jet Propulsion Lab." As an example, if you look at the top bar on this page, you will notice its title is Fishin' Buddies Web-page Profile

.

WEB-SITE NUMBER ONE:

Link #1:

Site Title:

Description:

WEB-SITE NUMBER TWO:

Link #2:

Site Title:

Description:

WEB-SITE NUMBER THREE:

Link #3:

Site Title:

Description:

WEB-SITE NUMBER FOUR:

Link #4:

Site Title:

Description:

WEB-SITE NUMBER FIVE:

Link #5:

Site Title:

Description:

WEB-SITE NUMBER SIX:

Link #6:

Site Title:

Description:

WEB-SITE NUMBER SEVEN:

Link #7:

Site Title:

Description:

WEB-SITE NUMBER EIGHT:

Link #8:

Site Title:

Description:

WEB-SITE NUMBER NINE:

Link #9:

Site Title:

Description:

WEB-SITE NUMBER TEN:

Link #10:

Site Title:

Description:

BIOGRAPHICAL INFORMATION

Three sectons. The first section is for your FISHIN' INFORMATION (maximum 1000 words), then a section to record your FISHIN' SPONSORS/AFFILIATIONS (maximum 500 words), and finally a bit about your PERSONAL BACKGROUND (maximum 500 words).

1. FISHIN' INFORMATION (maximum 1000 words)

Tell your favorite fishin' story! Examples might include: how you learned to fish; your all-time best fishin' story; the funniest fishin' story you ever heard that you know is true; the "one that got away," etc.

2. FISHIN' SPONSORS/AFFILIATIONS (maximum 500 words)

Tell us about your fishin' sponsors and/or fishin' affiliations, and we'll list them here for all the world to see.

3. PERSONAL INFO (maximum 500 words)

Tell us about you: Are you married? How many children or grandchildren? When did you started fishing? What you do for business, etc.

FILL-OUT FLOPPER'S FISHIN' FAVORITES SURVEY

Lake (State):

Favorite Lure #1:

Favorite Lure #2:

Favorite Lure #3:

Fishin' pole:

Fishin' reel:

Fishin' line:

Technique #1:

Technique #2:

Technique #3:

Time of year to fish:

Fishin' Store:

Fishin' Partner:

Fishin' TV Personalty:

Fishin' Mascot:

Fish:

Offshore Fishin' Spot:

Bass Boat:

Fishin' Attractant:

Sonar Unit:

GPS Unit:

Trolling Motor:

Fishin' TV Show:

Bass Boat Engine:

Bass Club:

Tournament Circuit:

Presidential Candidate:

All-time Bass Fisherman:

Fishin' Magazine #1:

Fishin' Magazine #2:

Fishin' Magazine #3:

Fishin' Videotape:

Fishin' Book:

Fishin' Guide (Lake):

Please press this button ONCE only!!

The extensive amount of information on this form may take a minute or so to process. Please be patient. When the page has been processed you will be taken to a "Thank you for submitting your Web-page Profile" page.