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Gopher Tortoise Identification Authentication page

Please enter required personal information.


Please note that items marked with a (*) are mandatory for registration.


Fields marked with a red asterisk * will show up on your approved permit.

 Personal Information


*First Name: (*)
*Last Name: (*)
*Affiliation/Company: (*)
*Telephone (include area code): (*)
Fax
This e-mail address will be used to send you updates on changes in your permit status (such as from "pending" to "approved"). If you don't enter an e-mail, you will have to visit the web site to see if your permit status has changed or if additional information has been requested.
Email Address:

 Login Information


Username: (*)
Password: (*)

(Now please re-enter your password to ensure it isn’t set to a typo!)

Password: (*)

 Mailing Address


*Street Address: (*)
*City: (*)
*State: (*)     *Zip code

Please use the following area to enter any notes or comments on your personal information. This comment area should NOT be used to record information about the location of the tortoises. When you apply for a permit, you will provide the location information and there will be a place for comments concerning your application.