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Reelfoot Lake Fishing/Hunting License Request |
Please send payment only for license(s). Mail to: |
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| Name | Date you would like to begin fishing | ||||
| Street Address | Please select the appropriate boxes below: |
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| City | Non-Resident | ||||
| State | 3 Day License $16.50 | ||||
| Zip Code | 10 Day License $25.50 | ||||
| Date of Birth | 1 Year $41.00 | ||||
| Hieght | Ft. Inches | Jr. License (ages 13-15) $9.00 | |||
| Weight | lbs. | Resident | |||
| Hair | 1 Day License $5.50 | ||||
| Eyes | 1 Year License $28.00 | ||||
| Gender | Jr. License (ages 13-15) $8.00 | ||||
| Race | |||||
| Social Security Number (required) | - - | Reelfoot Preservation Permit | |||
| Have you had a Tennessee License in the past two years? | Anyone using the waters of Reelfoot will need one, except children purchasing a Jr. License. | ||||
| 1 Day - $3.50 | |||||
| 3 Day - $10.50 | |||||
| 1 Year - $17.00 | |||||
After you have completed this form, you should print it and mail to the address listed at the top along with your payment. |
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Information entered on this form is not submitted across the Internet nor stored on our server. The information is lost when this window is closed. |
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