Party or Charter Boat Permit Application - Commercial Fishing Permits Center

Vessel Name

Vessel Use / Endorsement*

Pleasure
Commercial

Official Number*

Confirm Official Number*

Corpration?

Yes
No

For corporate applicants, are you a corporation in good standing?

Yes
No

NYS Domicile?

Yes
No

Applicant Name

First Last

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Address (if different)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Other Address for Business or Facility Location

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Country Issuing Taxpayer ID

Taxpayer ID/SSN

Township

County

Home Phone

Business Phone

Fax Phone

E-Mail

Physical Description

Date

Gender

Male
Female

Hair Color

Eye Color

Height

Weight

Vessel Name

Vessel Type

Vessel Reg./Doc. No.

Coast Guard License No.

Vessel Home Port

Passenger Capacity

Length

Gross Tonnage

Net Tonnage

Total Horsepower

Captain Contact Information

Business Phone

Home Phone

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Registered Owner Contact Information

Business Phone

Home Phone

Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

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 agree

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.

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

Authorization*

I agree

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.

Credit Card

Card Details

Cardholder Name

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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.