You MUST BE in our database to use this form if you are not, you must call (800) 677-7633 to register. This form must be completely filled out to place and order. We will email a receipt for all orders placed during our office hours. Orders that are received after office hours will not normally be delivered before 11AM. You must phone us to verify Same-Day orders. Same day orders cannot be filled if placed after 3PM!!! Our analyses are also available in color via electronic mail. Please phone us or send email to Sample3@ROFFS.com for a sample. We will send you a test color analysis prior to your order.You can also view samples on our web site here.

First Name
Last Name
Customer Number (listed on your last invoice)
Boat Name
Exact ROFFS© Chart Area Name:		Please select one of the following: Abaco Aransas Pass to Boca San Rafael Aransas Pass Offshore Beach Haven to Ocean City Maryland Berry Islands Bimini Boca Grande Inshore Cabo San Lucas Cape Ann to Cape Cod Cape Ann to Cape Elizabeth Cape Canaveral to Lake Worth, FL Cape Fear Inshore Cape Lookout Inshore Cape San Blas to Mobile Chatham Cuba Drum to Cape Fear Inshore Eleuthera (Bahamas) Emerald Bay (Bahamas) Flower Gardens to Bullwinkle Flower Gardens to East Breaks Fort Pierce to Matanzas Georgetown Hole Offshore Georgetown to Cape Fear Inshore Georgetown to Cape Fear Offshore Georgetown to Fernandina Offshore Harbour Island (Abacos) Hatteras Offshore (Point to Big Rock) Hudson Canyon to Baltimore Canyon Hudson Canyon to Hydrographer Canyon Jacksonville to Smyrna Inshore Jacksonville to Smyrna Offshore Key Largo to Sugarloaf Key Key West (Marathon to Rebecca Shoal) Key West to Loggerhead Lloyd Ridge to 960 Hill Offshore Miami Naples to Cape Sable New York Bight East New York Bight West Norfolk Canyon to Cape Hatteras Ocean City, MD to Wachapreague Ocracoke to Cape Fear Offshore Panama City to Apalachee Bay Pensacola to Barataria Bay Offshore Portsmouth East Saint Catherine's to Saint John's Inshore Saint Simon to Saint Augustine Inshore Sebastian Inlet to Hillsboro Inlet Shinnecock Inlet to Nantucket Island South Pass to Bullwinkle Tampa Inshore Tampa Offshore Veatch to Powell Canyons Wachapreague, Va to Currituck, Va Walker's Cay Bahamas Wilmington Canyon to Norfolk Canyon Latitude/Longitude (GPS) LORAN numbers.
(Please phone or email if you do not know the exact ROFFS©chart area name)
Inlet
What are you fishing for?
What kind of fishing?		Fun Tournament
If tournament, please list the name
When are you fishing?		Day & Date (i.e. - Monday: 10/23/98)
When do you need to receive the analysis?		Day & Time (i.e. - 10/23/98, 7PM)	Orders that are received after office hours will not normally be delivered before 11AM. You must phone us to verify Same-Day orders.
When is the absolute latest you can receive the analysis?		Day & Time
Would you prefer to receive the analysis via fax or via email or both? (There is an additional $5 charge if you select "Both".) Color analyses must be sent by email.		Fax e-mail Both
Home Phone
Work Phone
Cellular Phone
Boat Phone/Satellite Phone
FAX		Required for faxed analyses.
E-mail			Required for color or email analyses.

Please provide the following ordering information - if your card is already
on file, you do not need to complete the form, just select the card type below:

Credit card		Card on File Already VISA MasterCard American Express Can't Remember Which one I gave you (Click on window for more card types)
Cardholder name
Card number
Expiration date
Information on file		(check this box, if we have your credit card information on file)
If this form is NOT working please call our office at 1-800-677-7633

ROFFER'S OCEAN FISHING FORECASTING SERVICE, INC. Office hours 2008: Jan 02-Apr 04:  M-F 9:00AM - 5:00PM Apr 07-Apr 25:  M-F 9:00AM - 6:00PM Sat. hours determined by demand by Wednesday PM May 01-Sep 12:  M-F 9:00AM - 9:00PM Sat 9:00AM - 5:00PM (sometimes earlier - PLEASE order by 1:00PM) Sep 15-Oct 04:  M-F 9:00AM - 6:00PM Sat. hours determined by demand by Wednesday PM Oct 06-Dec 30:  M-F 9:00AM - 5:00PM Holiday hours to be announced (so please call office). We will be closed: New Year's Day - January 01; Memorial Day - May 26; Independence Day - July 07 (OPEN July 04 and 05); Labor Day - September 01; Thanksgiving - November 27-28; and Christmas - December 25 60 Westover Drive - West Melbourne, FL 32904 Office 321-723-5759 or 800-677-7633 Email address: fish6@roffs.com Internet: www.roffs.com