NEW JERSEY DIVISION OF FISH & WILDLIFE
2007 Mail-In Striped Bass Bonus Program
Individual Participant Application and
Child Support Application*
Date_______________________
Name_________________________________________________________________
Last First Middle Initial
Address________________________________________________________________
Number and Street
_______________________________________________________________________
City State Zip Code
County_______________________________
*Social Security #______________________ *Date of Birth_____________________
Daytime Telephone Number: _________________________________
Area Code Number
* Required for processing application.
MAIL COMPLETED FORM TO: Division of Fish and Wildlife
Striped Bass Bonus Program
P.O. Box 418
Port Republic, NJ 08241
YOU MUST ENCLOSE A SELF-ADDRESSED, STAMPED, #10 BUSINESS ENVELOPE
FOR EACH APPLICANT TO RECEIVE ONE FISH POSSESSION PERMIT.
Applications will be processed in the order of receipt OR
go to www.wildlifelicense.com for same-day issuance of permits.

The Division has developed a voluntary Bonus Program e-mail list for special notices, regulation
updates, emergency closures, etc. Go to njfishandwildlife.com and click on “E-mail Lists” to
subscribe to the “Marine Fisheries” list.