11/20/2008 07:37:07 AM

138 River Road
Suite 306
Andover, MA 01810
Tel: 978-682-9633
Fax: 978-681-0623
Toll Free: 1-888-430-6200


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Special Massachusetts License Plate Order Form
** Note - Data in this form is submitted directly to the Massachusetts Registry of Motor Vehicles Website. No data or record of this transaction is recorded by this agency.

Special Plate Online Order Form

Massachusetts Registration Form This transaction allows you to order Right Whale, Fish & Wildlife, Cape Cod and Islands, Invest in Children, Olympic Spirit, Blackstone Valley, Boston Bruins / Youth Hockey, Red Sox / Jimmy Fund, United We Stand, or Massachusetts Animal Coalition plates.

Your order can only be processed if there are no changes to your current registration. You will need your Massachusetts registration to process your order.

Important: The address on your registration MUST be your current address. If you need to change your address, please contact the Telephone Center to process the change before processing this transaction.

Your new plates and registration will be mailed to you within ten business days.

Special plates are randomly assigned. You may not request a particular plate number or retain your current plate number.



Important
Due to high demand for some special plates, customers who order the plates online may receive plates that are valid for less than two years. If this is the case, your registration fee will be pro-rated. Don't forget, your special plate fee is tax-deductible!
Driver's License Select Special Plate

Patriots New England Patriots
Massachusetts Animal Coalition Plate Massachusetts Animal Coalition
Basketball Hall of Fame PlateBasketball Hall of Fame
Bruins / Youth Hockey PlateBruins / Youth Hockey
Red Sox / Jimmy Fund PlateRed Sox / Jimmy Fund
United We StandUnited We Stand
Environmental, Whale PlateEnvironmental, Right Whale
Cape Cod and IslandsCape Cod & Islands
Olympic SpiritOlympic Spirit
Invest in Children Invest in Children
Fish and WildlifeFish & Wildlife
Blackstone Valley Blackstone Valley
Registration #
Plate Type
Expiration Date (mm/yy)


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