Free Recreational 3-Vehicle Combination Permit Application - Wisconsin

RECREATIONAL 3-VEHICLE COMBINATION PERMIT APPLICATION
Wisconsin Department of Transportation www.dot.wisconsin.gov/business/carriers/osowgeneral.htm MV2742 7/2005 s.348.27(7m) Wis. Stats.
Clear Form

Please Print or Type. Applicant Name

Address

City

State

ZIP Code

Area Code - Telephone Number

E-Mail Address

Towing Vehicle Year, Make

Vehicle Type Truck Auto

Vehicle Identification Number

Transfer - Give previous permit number
Permit Effective Date - Desired Start Date When application received at Wisconsin Department of Transportation List other date in future: (Not to exceed 60 days in the future) Number of Months Desired

The permit is issued for a minimum of 3 months and a maximum of 12 months. Fee Schedule # of Months 8 - 12 7 6 5 4 3 Make check payable to: Registration Fee Trust Mail to: Wisconsin Department of Transportation OS/OW Permit Unit PO Box 7980 Madison, WI 53707-7980 If questions, telephone 608-266-7320 Amount $40.00 38.33 35.00 31.67 28.33 25.00 I accept and will comply with the 3-vehicle combination permit conditions on form MV2743.

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(Applicant)

FOR DEPARTMENT USE ONLY - Permit/Renewal Numbers/Transfer From - To

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