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Please fill out and submit the following information.  The

fields marked with an * must be completed.


*First Name
*Last Name
*Street Address
PO Box
*Zip/Postal Code
*Home Phone

*What is your NWT Sport Fishing license number?

*Check this box if your license is validated for the ISR

*Enter your planned fishing start date :

-- dd/mm/yy

*Enter the planned end date :

-- dd/mm/yy

*What waters do you plan to fish ?

Revised: August 13, 2014

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