City of Cape May

DECADE BEACH TAG
APPLICATION

Decade Tag No.________________

Application Date_______________

Issue Date_____________________

Receipt No.____________________

Fee Paid_______________________

I understand and agree that:

1. A one time fee of one hundred ($100.00) dollars per person, entitles registered decade tag certificate holder to receive one (1) seasonal beach tag, at no additional cost for each and every bathing season, for a period of ten (10) consecutive years, from date of issuance.

2. The certificate issued must be presented to Cape May City Hall each year, in order to receive the seasonal beach tag.

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Name of Purchaser (please print) 

_______________________________________________________________________
Please print name as you would like it to appear on the Certificate
(if different from above)

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Street Address

_______________________________________________________________________
City/State/Zip

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Telephone Number                                         Signature of Purchaser

Number of decade tags ordered_____