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2017-2019 WATERCRAFT REGISTRATION FORM …

2017 - 2019 WATERCRAFT REGISTRATION FORMN orth dakota Game and Fish DepartmentLicensing Section SFN 6102 (12/16) FEE SCHEDULE (Note: the fee schedule is prorated and based on length of boat.)ND WATERCRAFT REGISTRATION Number: ND___ ___ ___ ___ ___ Decal Number (Department Use Only): Contact Information (A valid state driver's license number or Social Security Number is required. Organizations must provide a Tax Identification Number.)First Name:Middle Initial:Last Citizen: Yes NoDate of Birth:SSN:ND Driver s License No. or ND Nondriver Photo ID No.:Organization:TIN (Tax Identification Number):Telephone:Email:Address Information (In addition to the primary address, an alternate mailing address or P.)

2017-2019 WATERCRAFT REGISTRATION FORM North Dakota Game and Fish Department Licensing Section SFN 6102 (12/16) FEE SCHEDULE (Note: the fee schedule is prorated and based on length of boat.)

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