PLEASE NOTE: If you plan to fish in ANY state or U.S. territory EXCEPT Hawaii, Puerto Rico, or the U.S. Virgin Islands, it is very likely that the state will require you to obtain a saltwater recreational fishing license or registration for your fishing activity, in which case you will be AUTOMATICALLY registered with the National Saltwater Angler Registry and should NOT register here.

An individual angler registration covers only one angler. If you would like to register more than one angler, you will need to complete a separate registration for each angler.

* is required.

Angler Information *First Name: Middle Initial: *Last Name: Suffix: --Select-- Jr Sr I II III IV V *Date of Birth: (e.g. Jr., Sr., III)  (mm/dd/yyyy) Email Address: Confirm Email: I acknowledge by not entering an email address, I will not receive an electronic copy of my registration card. I will print the confirmation page for my records.

Registration Card Mailing Address Information It is very important that you enter a valid mailing address as this is the address to which your registration card will be mailed. You do not need to enter more than one address or register more than once if you own more than one home or fish in more than one location. *Address Line 1: The system will attempt to standardize and validate address information. You may be prompted to clarify or confirm certain address information. (street number and street name, e.g. 123 Main St)  Address Line 2: (apt/floor/suite, e.g. Apt #123) *City: *State: --Select-- ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING AMERICAN SAMOA FEDERATED STATES OF MICRONESIA GUAM MARSHALL ISLANDS NORTHERN MARIANA ISLANDS PALAU PUERTO RICO U.S. MINOR OUTLYING ISLANDS U.S. VIRGIN ISLANDS *Zip Code: (5 digit zip code only)

Survey Contact Telephone Information Registration in the National Saltwater Angler Registry establishes your eligibility to participate in surveys about your fishing activity. Information obtained from these surveys is used to determine the health and sustainability of the fishery and make informed decisions about how many fish can be caught the following year. Please enter a permanent (i.e. not temporary or local) phone number where you would prefer to be reached if you are selected to participate in an angler survey. *Phone Number: Phone Extension:  (no punctuation, e.g. 8005551212) *Phone Type: --Select-- Office Home Mobile Please indicate the time period during which you would like to be contacted to participate in a survey. *Phone Time: --Select-- Day Night Any Time

Intended Fishing Location(s) Please check the box to the left of each state in which you intend to fish during the next year. This information will be used to determine which surveys you are eligible for and will not restrict your ability to fish in other locations. * You must check at least one Intended Fishing Location Alaska: Alaska Atlantic: Connecticut Delaware District of Columbia Florida (East Coast) Georgia Massachusetts Maryland Maine North Carolina New Hampshire New Jersey New York Pennsylvania Rhode Island South Carolina Virginia Caribbean: Puerto Rico U.S. Virgin Islands Gulf of Mexico: Alabama Florida (West Coast) Louisiana Mississippi Texas Hawaiian Islands: Hawaii Pacific: California Oregon Washington Western Pacific: American Samoa Guam Northern Mariana Islands