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Shellfish/Beach Resident Permit Mail Order
                
TOWN OF MATTAPOISETT
16 Main Street, P.O. Box 433
                                                                                  Mattapoisett, MA 02739

                                  
MATTAPOISETT RESIDENTS AND PROPERTY OWNERS ONLY

BEACH STICKER / SHELLFISH BUTTON
MAIL ORDER FORM

DATE:                                                   

NAME:                                                   TELEPHONE (HM.)                                 
                               Print
MAILING                                                         (WK.)                           
ADDRESS:                                                        
                                  Print                         PROPERTY LOCATION                       
                                                                                                                

          BEACH/WHARF STICKER                          FAMILY SHELLFISH BUTTON 
          (one sticker per vehicle)                                     

VEHICLE REGISTRATION (copy[ies] required –      PROOF OF RESIDENCY OR PROPERTY OWNERSHIP
see mailing instructions below)                 (copy required – see mailing instructions below)
                        
REG. #1                                                 Check one:      
                                                        ?    Tax Bill
REG. #2                                                 ?    Utility Bill       
                                                        ?   License
REG. #3                                                 ?   Other                                               


                TYPE
FEE
x    QTY.
=  TOTAL
BEACH STICKER
$10
$             
BEACH OVER 65 YRS.    or
Lic. Plates-Clergy, HP, POW, DV, V, PH

FREE

FREE
SHELLFISH BUTTON
$25
$
SHELLFISH OVER 65 YRS.    or
Lic. Plates-Clergy, HP, POW, DV, V, PH

FREE

FREE
TOTAL ENCLOSED
$

MAILING INSTRUCTIONS
ENCLOSE:

1.      Copy of Vehicle Registration(s) OR Proof of Residency or Ownership
2.      Self-Addressed Stamped Business Size Envelope ($.41 for Beach Sticker, $.58 for Shellfish Button)      
3.      Completed Form
4.      Check or Money Order made out to “Town of Mattapoisett”

MAIL TO:

Town of Mattapoisett
P. O. Box 433
Mattapoisett, MA  02739