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Reelfoot Lake Fishing/Hunting License Request |
Please send payment only for license(s). Mail to: |
| Name of Person making reservation | |||
| Your Name | Date you would like to begin fishing | ||
| Street Address | Please select the appropriate boxes below: |
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| City | Non-Resident | ||
| State | |||
| Zip Code | 3 Day License $20.50 | ||
| 10 Day License $30.50 | |||
| Date of Birth | 1 Year $50.00 | ||
| Hieght | Ft. Inches | Jr. License (ages 13-15) $11.00 | |
| Weight | lbs. | Resident | |
| Hair | 1 Day License $6.50 | ||
| Eyes | 1 Year License $34.00 | ||
| Gender | Jr. License (ages 13-15) $10.00 | ||
| Race | |||
| Social Security Number (required) | - - | Reelfoot Preservation Permit | |
| Have you had a Tennessee License in the past six 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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