Free Freemason License Plate Application - Wisconsin

FREEMASON LICENSE PLATE APPLICATION
Wisconsin Department of Transportation MV2918 2001 s.341.14(6r) Wis. Stats.
Clear Form

Mail this portion with Certificate of Title and fee to:

WisDOT-Special Plates Unit PO Box 7911 Madison, WI 53707-7911
Meaning

I would like standard Freemason plates. I would like personalized Freemason plates. NOTE: If all personalized choices have been used: I would like standard Freemason plates. Call me at between 7 a.m. and 4:30 p.m. E-mail me at Fees Due: Issuance Fee Registration Fee if applicable TOTAL FEE $15.00

First Choice Second Choice Third Choice

Meaning

Meaning

$15.00
If you are requesting a plate which the current owner no longer wants OR are changing to a different personalized plate, page 3 must be completed and signed.
Zip Code

Applicant/Owner Name(s) as shown on the Certificate of Title or Title Application

Street Address

City

State

(Applicant Signature)

FREEMASON DECAL APPLICATION
Please mail this portion of your application with a self-addressed stamped envelope to the address below to receive decals for your license plates. When your Freemason license plates arrive, please affix the decals according to the instructions that will accompany the decals. Mail to: Grand Lodge Free and Accepted Masons of WI License Plate Decals 36275 Sunset Dr. Dousman, WI 53118
Name



Detach before sending this portion to Free and Accepted Masons of Wisconsin.

Address

City

State

Zip Code

The Freemason license plates recognize the Free & Accepted Masons of Wisconsin, a fraternal order that was organized in 1843 and in operation several years before our state was admitted to the Union. For more information about the Freemasons, contact: Grand Lodge Free and Accepted Masons of WI 36275 Sunset Dr. Dousman, WI 53118 Telephone: 262-965-2200 Internet: wisc-freemasonry.org Section 132.17, Wisconsin Statutes, makes it illegal to use the insignia of the Freemasons or of any other society, order or organization operating under the lodge system unless entitled to use the same under the constitution, bylaws, rules and regulations of that society, order or organization.



Freemason license plates are available to the general public and may be used to register the following vehicles: · Automobiles · Motor homes (annual registration only) · Motor Trucks · 4,500, 6,000 or 8,000 pound gross weight including dual purpose farm and dual purpose motor home · 12,000 pound gross weight farm truck

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How To Apply 1. Complete and mail the Freemason Decal Application with a self-addressed, stamped envelope to the address provided. 2. Complete the Freemason License Plate Application and mail separately to the WisDOT address provided. If you want non-personalized plates, select that check-box on page 1 and omit steps 3-6. If you want personalized plates choose 1-6 characters. 3. If you choose 6 characters, no spaces are allowed.

M A S O N S
If you choose 5 characters or less, you may request up to 2 spaces between any of the characters. Indicate spaces with diagonal lines.

P G M 8 6
4. Use capital letters or numbers. The letter O and the number zero are the same. The following are not acceptable: small letters, symbols, signs, hyphens, apostrophes, etc. Carefully distinguish between: M Letters L or I and the Number 1 M Letter S and Number 5 M Letter G and Number 6 M Letter Z and Number 2 M Letter B and Number 8 M Letter U and Letter V 5. Give meaning of request, i.e., what does this represent? 6. If you have personalized plates that you would like to replace with the same message on Freemason plates, you may do so if your message is 6 characters or less. (Other restrictions may apply; call if you have questions.) 7. Send the following items: M Your Wisconsin Title (not a photocopy); M Signed application; M $15 Issuance fee or $15 personalized fee; M Annual registration fee if you do not have plates or if your plates expire within the next 3 months; M Check or money order made payable to: Registration Fee Trust. 8. Mail or deliver to: Wisconsin Department of Transportation Special Plates Unit 4802 Sheboygan Ave. PO Box 7911 Madison, WI 53707-7911 Who to contact with plate questions: M Call 608-266-3041; M TTY 608-264-8703; M Internet: www.dot.state.wi.us M E-mail: [email protected] M Write to the address above. Standard Freemason Plates M The first time you get your Freemason plate you pay: M A $15 one-time original issuance fee; Your regular registration fee, if your current plates expire within three months. M M Thereafter, you will pay only the regular registration fee. M You must submit your current title to receive either standard or personalized Freemason plates. You will receive a new title. Personalized Freemason Plates MIf you would like personalized plates, a $15.00 fee is required EACH year in addition to the regular registration fee. M Personalized plates cannot be duplicated on any other license plate issued by WisDOT. To check whether your personalized plate choice is available before you apply, you may contact the Special Plates Unit (E-mail: [email protected]). M If your personalized request is not available, check which option on the form you would like us to follow. M The department may refuse to issue OR may recall after issuance, a request that is misleading or may be offensive to good taste or decency. M No refund or adjustment will be made for a change of choice or spacing after the plate has been ordered, or if the application is unclear or incorrectly completed. M Allow approximately 4-6 weeks after you receive your new title for personalized plates to arrive. Plates Required in 2 days To legally operate your vehicle, you must display license plates within two business days of purchase. If you do not have current plates, apply to a DMV Customer Service Center or an agent authorized by DMV to obtain a temporary plate while your Freemason order is processed. An agent may also charge a $3 plate fee and/or may charge a $5 service fee. Change to Regular Plates If you later decide to re-register with standard license plates, return your title with a request for standard plates. Include the regular registration fee if your Freemason plates will expire within the next three months.

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RELEASE OF PERSONALIZED PLATES

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I authorize the reissuance of my personalized license plate number specified above to applicant shown on page 1. I allow the Wisconsin Department of Transportation to reissue my current personalized plate after it is replaced with a different plate.

X
(Signature of Owner Releasing Plate)

New Owner - please check one: I have plates in good condition in my possession; I need new plates issued. Note: No credit of registration fees, issuance fee, or personalized plate fee from former owner is allowed.

RELEASE OF INFORMATION
The Wisconsin Department of Transportation uses the information on this form to issue Freemason license plates. Under open records laws, the Department must make certain information available upon request. The Department makes some information available to companies for business purposes. If you want your name and address withheld from such business mailing lists, please obtain form MV3592, Request to Withhold Name and Address, from any DMVCustomer Service Center. ADA - The Wisconsin Department of Transportation complies with the Americans with Disabilities Act

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