Operator Card Application A brief description of the form or Application to be filled out here. Vessel Name Vessel Use / Endorsement* Pleasure Commercial Official Number* Confirm Official Number* Contact InformationName First Last Email* Enter Email Confirm Email Phone*Operator Card Holder Personal InformationAre you a United States Citizen or permanent resident alien? Yes No What this individual’s Sex? Male Female Is this Individual of Hispanic, Latino, or Spanish origin? Yes No What is this individual's race? White Black or African American American Indian or Alaska Native Asian American Native Hawaiian or Other Pacific Islander Name First Middle Last Suffix Tax ID Number (SSN) Date of Birth (MM/DD/YYYY) MM slash DD slash YYYY Area Code Phone Number Mailing Address Apt # City State County/Parish Zip Code Country Is the Physical Address the same as the mailing address? Yes No Physical Address (PO Box not acceptable) Apt # City State County/Parish Zip Code Country Birth Place (City, State, Country) Current Weight (lbs) Current Height (ft & in) Eye Color Brown Blue Grey Green Hazel Hair Color Brown Black Grey White Blonde Red Would you like to receive digital updates (texts & emails)? Yes No Email Cell Phone number and provider: Application Fee Price: RENEWAL ADVANCED PAYMENT OPTION No Additional Years 2 year renewal 3 year renewal 4 year renewal 5 year renewal Total $0.00 Consent* I agreeI CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.NAME:* Type your full name to sign this secure webformSignature*CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER) Date MM slash DD slash YYYY Authorization* I agreeI agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected permits. I understand that my application will be processed in the order in which it is received by Commercial Fishing Permits Center, a private fee-for-service documentation company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Commercial Fishing Permits Center's no refund policy. I understand that submitting another application for a license or permit will supersede the current/pending application for that license or permit. I understand that Commercial Fishing Permits Center does not issue or sell any licenses or permits.Credit Card Having Trouble with your card? 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