Free MV2961 Civil Air Patrol (CAP) Wisconsin License Plate application - Wisconsin

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CIVIL AIR PATROL LICENSE PLATE APPLICATION
MV2961 4/2007 s.341.14(6r)(f)9m Wis. Stats.

Wisconsin Department of Transportation

Proof of Eligibility: Submit a photocopy of your Civil Air Patrol ID card showing your active or retired status. Give information for the vehicle that you wish to register with CAP plates.
License Plate # Year - Make Body Type Vehicle Identification #

Print Applicant Full Name - Last, First, M.I.

Meaning of First Choice

First Choice
Street Address

Second Choice Third Choice

Meaning of Second Choice

City, State, ZIP Code

Meaning of Third Choice

Area Code - Telephone Number Where You May be Reached 7 a.m. - 4:30 p.m.

Check Options:

Social Security Number - For Identification Purposes

_____ I would like nonpersonalized CAP plates. _____ I would like personalized CAP plates Note: If all personalized choices have been used: _____ I would like nonpersonalized plates _____ Call me at the number given _____ E-mail me at _________________________

(Applicant Signature)

RELEASE OF PERSONALIZED PLATES
New Owner - please check one: I authorize the re-issuance of my personalized license plate number specified above. I allow the Department of Transportation to reissue my current personalized plate after it is replaced with a different plate. Have plates in good condition in my possession Need new plates issued Note: No credit of registration fees, personalized plate fee, or any other fee from former owner is allowed.

X
(Signature of Owner Releasing Plate)

HOW TO APPLY
1. To order nonpersonalized Civil Air Patrol (CAP) plates, mark application and omit steps 2-4. 2. To order personalized CAP plates, choose 1-6 characters. If you choose 6 characters, no spaces are allowed. 5. If the vehicle that you wish to register with CAP plates is already titled in your name, send: * A copy of your Certificate of Registration OR complete the vehicle description on the application above; * $15.00 issuance or personalized plate fee, 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); * All required fees, including annual registration fee; * Additional $15.00 issuance or personalized plate fee. 7. Send this application with a photocopy of your current CAP membership card. 8. Make check or money order payable to: Registration Fee Trust. 9. Mail all required items to: Wisconsin Department of Transportation Special Plates Unit PO Box 7911 Madison, WI 53707-7911

C A D E T S O 2 F L Y

If you choose 5 characters, you may request up to 2 spaces between any of the characters. Indicate this request with diagonal lines as shown here.

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 B and Number 8 Letter S and Number 5 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 a Civil Air Patrol (CAP) license plate, you pay: A $15.00 issuance fee. WI DOT will transfer funds to the WI Department of Veterans Affairs, Veterans Trust Fund. This fee may be tax deductible for certain tax filers; consult your tax advisor. OR An annual $15.00 fee for personalized plates; An annual registration fee, if your current plates expire within 3 months. Personalized Civil Air Patrol (CAP) Plates A $15.00 personalized plate fee is required every year in addition to the 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 Civil Air Patrol 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.

This will remove your name from marketing lists.

No.

For information about the Civil Air Patrol, visit www.wiwgcap.org or call 608-242-3067.

Civil Air Patrol License Plate Application
Who is eligible?
An owner, lessee, or trust beneficiary who is either a current or retired member of the Civil Air Patrol. Civil Air Patrol 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.

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

MV2961

Wisconsin Department of Transportation

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