Lobster Tail Permit - Commercial Fishing Permits Center

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A brief description of the form or Application to be filled out here.

Owner or Person Responsible for Business
Name
First Middle Last Suffix
Maiden Name
(if applicable)
Address
Street Address City State ZIP Code
Mailing Address
(if different from above)

Street Address City State ZIP Code
Date of Birth
MM slash DD slash YYYY
Height
Weight
Hair Color
Eye Color
Daytime Phone
Nighttime Phone
Business
Name of Business
Federal Tax ID #
Date of Incorporation
MM slash DD slash YYYY
Business Address
Street Address City State ZIP Code
Type of Business
(Individual Owner, Corporation, etc.)
Business Telephone
Contact Person
First Middle Last Suffix
Processing Business
Location within facility where tails will be processed
(Please describe)
Contact Information
Name
First Last
Email*
Enter Email Confirm Email
Phone*
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 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.
I agree
NAME:*
Type your full name to sign this secure webform
Signature*
CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)
Date
MM slash DD slash YYYY
Authorization*
I 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.
I agree
Credit Card
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BILLING ADDRESS
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
By clicking submit you agree to these Terms and Conditions and the above authorization of payment.

Owner or Person Responsible for Business

Business

Processing Business

Contact Information