License Information

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Licensee information
  • (Optional)
  • / / (Example: 11/15/1979)
  • (Example: RI)
  • (Example: 02904)
  • (Example: 555-555-5555)
  • This number will only be used to gather survey data regarding salt water fishing activities and will not be used for any other purpose.
  • If no Driver's License or state ID is available, please enter a 10 digit phone number (numbers only).
  • (Example: RI)
  • (Optional)
  • If provided, this will be used to send you a copy of your receipt.
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