Columbia River Smelt - Commercial Fishing Permits Center

Application Year

License District

Vessel Name

State or Documentation Number

Hull Identification Number

Overall Length

Beam

Horsepower

Fuel

Gas
Diesel

Net Tonnage

Gross Tonnage

10 inch number

Fuel

Fathometer
Loran
Radar

License Owner

Name

First Middle Last

Address

Street Address City State ZIP Code

Mailing Address

Street Address Address Line 2 City State ZIP Code

Phone Number

Residency

I have been a resident of Washington for the previous 90 days and am not licensed as a resident in another state.
I am not a resident of Washington State.

Primary Operator

Name

First Middle Last

Date of Birth

Sex

Hair

Eyes

Weight

Height

Social Security Number

Alternate Operator

(optional)

Name

First Last

Birthdate

Name

First Last

Birthdate

Undesignated crewmember licenses

You can select up to TWO undesignated crewmember licenses

Resident Crewmember License - Qty

Please enter a number less than or equal to 2.

Non-Resident Crewmember License - Qty

Please enter a number less than or equal to 2.

Non-Resident Albacore Tuna Crew License - Qty

Please enter a number less than or equal to 2.

Contact Information

Name

First Last

Email*

Enter Email Confirm Email

Phone*

Application Fee

Price:

Application Fee

Price:

Resident Crewmember License

Price: $0.00

Non-Resident Crewmember License

Price: $0.00

Non-Resident Albacore Tuna Crew License

Price: $0.00

RENEWAL ADVANCED PAYMENT OPTION

No Additional Years
2 year renewal +$75.00
3 year renewal +$150.00
4 year renewal +$225.00
5 year renewal +$300.00

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

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

Card Details

Cardholder Name

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Check this box to move forward without your 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.