Free MV2960 Golf Wisconsin License Plate Application - Wisconsin

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GOLF WISCONSIN LICENSE PLATES APPLICATION
MV2960 11/2006 s.341.14(6r)(f)55m Wis. Stats. The social security number is used for identification purposes. Give information for the vehicle that you wish to register with GLF plates.
License Plate # Year - Make Body Type Vehicle Identification #

Wisconsin Department of Transportation

Owner(s)/Lessee Name (Last, First, M.I.) - Print

Social Security # or Driver License # or (If company owned) FEIN #

Street Address

City

State

ZIP Code

Check Options
_____ I would like personalized GLF plates Note: If all personalized choices have been used _____ I would like nonpersonalized plates _____ Call me at _________________________ between 7 a.m. and 4:30 p.m. _____ E-mail me at ________________________ _____ I would like nonpersonalized GLF plates.

(Applicant Signature)

Personalized Message Request
First Choice
Meaning of First Choice

Personalized Plates Release

I authorize the re-issuance of my personalized license plate number specified above. Second Choice
Meaning of Second Choice

I allow the DOT to reissue my current personalized plate after it is replaced with a different plate.

(Signature of Owner Releasing Plate)

Third Choice
Meaning of Third Choice

New Owner - please check one: Have plates in good condition in my possession Need new plates issued Note: No credit of any fees from former owner is allowed.

How to Apply
1. To order nonpersonalized Golf Wisconsin (GLF) plates, mark application and omit steps 2-4. 2. To order personalized GLF plates, choose 1-6 characters. If you choose 6 characters, no spaces are allowed. 5. If the vehicle that you wish to register with GLF plates is already titled in your name, send: * A copy of your Certificate of Registration OR the complete vehicle description on the application above; * $15.00 issuance or personalized plate fee, $25.00 GLF donation, plus the annual registration fee if the current plates expire within the next 3 months. 6. If the vehicle is NOT titled in your name, send: * A completed title application (MV1 or MV11) and fees, including annual registration fee; * Additional $15.00 issuance or personalized plate fee, and $25.00 GLF donation. 7. Make check or money order payable to: Registration Fee Trust. 8. Mail all required items to: Wisconsin Department of Transportation Special Plates Unit PO Box 7911 Madison, WI 53707-7911

G T 2 G L F
If you choose 5 characters, you may request up to 2 spaces between any of the characters. Indicate spaces with diagonal lines.

H O L N 1
3. 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: Letters L or I and Number 1 Letter Z and Number 2 Letter S and Number 5 Letter B and Number 8 Letter G and Number 6 Letter U and Letter V 4. Provide meaning of request, i.e., what does this represent?

GENERAL INFORMATION
When you request Golf Wisconsin (GLF) license plates, you pay: A $25.00 donation to the WPGA Junior Foundation, Inc. and the WI Dept. of Tourism; An annual $15.00 fee for personalized plates OR a $15.00 original issuance fee; Your regular registration fee, if your current plates expire within 3 months. Thereafter, you will pay the annual $25.00 donation and the regular registration fee for standard GLF plates. The $25.00 donation may be deductible if you itemize your income tax returns. Personalized Golf Wisconsin (GLF) Plates A $15.00 personalized plate fee is required every year in addition to the annual $25.00 donation and regular registration fee. If your personalized request is not available, check on the form which option you would like us to follow. WDOT may refuse to issue OR may recall after issuance, a request that is misleading or may be offensive to good taste or decency. 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. Plates will be mailed 4-6 weeks after you receive the new Certificate of Registration. Plates Required in 2 Days To legally operate your vehicle, you must display license plates within 2 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 order is processed. An agent may also charge a $3 plate fee and / or may charge a $5 service fee. If you have questions: Call 608-266-3041 FAX 608-267-5106 E-mail: [email protected] Write to the address given.

RELEASE OF NONEXEMPT INFORMATION The Wisconsin Department of Transportation uses the information on this form to issue Golf Wisconsin (GLF) license plates. Under open records laws, the Department must make nonexempt information available upon request. Do you want your name withheld from mailing lists of 10 or more individuals?

Yes No

This will remove your name from marketing lists.

Golf Wisconsin License Plate Application
Support the efforts of the WPGA Junior Foundation, Inc. and the Wisconsin Department of Tourism to provide opportunities, enjoyment and education to junior golfers and to promote golf in Wisconsin.

Who is eligible? Any Wisconsin resident. Golf Wisconsin plates are available for: Automobile Motor Home (annual registration only) Truck 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.
MV2960 Wisconsin Department of Transportation

ADA - The Wisconsin Department of Transportation complies with the Americans with Disabilities Act.

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