F I S K F Å N G S T I N T Y G

Fischfang-Bestätigung          *          Fishcatch Verification

FISKARE / ANGLER / FISHERMAN

Namn/Name:______________________________________________________________________________

Adress/Anschrift/Address: __________________________________________________________________

Postnr./Postleitzahl/Zipcode: _______________________________________________________________

Ort/Town:__________________________________________________________________________________

Land/Country:_____________________________________________________________________________

Telefon/Phone:_____________________________________________________________

FÅNGST / FANG / CATCH

Sort/Art/Type: _____________________________________________________________________________

Vikt/Gewicht/Weight (kg): __________________________________________________________________

Längd/Länge/Length (cm): _________________________________________________________________

Fångstdatum/Fangdatum/Date caught: ______________________________________________________

Fångstplats/Fangplatz/Caught at: ___________________________________________________________

Fångstort/Fangort/Town: ____________________________________________________________________

Fiskekortnr./Angelkarten-Nr./Fishing license #:  ___________________________________

Fiskeområde/Angelbezirk/Fishing District: ____________________________________________________

              HANDREDSKAP SPORTANGLERGERÄT / SPORTFISHING EQUIPMENT

Spö/Rute/Rod:_____________________________________________________________________________

Rulle/Rolle/Reel: __________________________________________________________________________

Lina/Schnur/Line: __________________________________________________________________________

Bete/Köder/Bait:___________________________________________________________________________

FÅNGSTBEVITTNANDE FANGBESTÄTIGUNG / CATCH VERIFICATION

Namn/Name: ______________________________________________  Tel./Phone: ___________________

Namn/Name: ______________________________________________  Tel./Phone: ___________________

LYCKA TILL!           PETRI HEIL!           GOOD FISHING!

Skickas till/Sende an/Mail to: tidningen.harjedalen@ltz.se

Tidningen Härjedalen, Dalagatan 1, 842 32 Sveg – eller/oder/or Fax: 0680-553 94
Fiskechampion program © Copyright Horst Kuehne