Apply for your Smokies plate today! Your specialty license plate may be purchased independently of your vehicle’s registration. A Friends of the Smokies plate is $30 annually in addition to the vehicle registration fee. A plate with personalized letters or numbers is another $30. For each new or renewed specialty plate, $20 goes toward projects in Great Smoky Mountains National Park. With your new plate you receive a complimentary one-year membership to Friends of the Smokies. The specialty plate fee is tax deductible. Additional applications are available at www.friendsofthesmokies.org Thank you for your support of Great Smoky Mountains National Park. Friends of the Smokies 828-452-0720 [email protected] www.friendsofthesmokies.org --------------------------------------------------------------------------------------------------------------------------------------------------------- Friends of the Smokies Specialty License Plate Application Mail completed form with your check payable to: Friends of the Smokies, 160 S Main St, Waynesville, NC 28786 Your vehicle inspection and registration must be current within 90 days of your renewal date for your application to be processed. Select One: $30 Regular Friends of the Smokies Specialty License Plate $60 Personalized Friends of the Smokies Specialty License Plate Please Print Name – (First, Middle, Last) ________________________________________________________________________ Name as shown on Certificate of Title (if different) – (First, Middle, Last) ___________________________________ Address _________________________________________________________________________________________ City ______________________________________________ State NC ZIP _______________________ Phone _________________________________ Email ___________________________________________________ (We look forward to keeping in touch with you) Drivers License # ____________________________ Current North Carolina Plate Number: ___________________ Vehicle Identification Number (VIN) ________________________________________________________________ Year _________ Make ___________________ Model ________________ Body Style _______________________ Expiration Date of Current Vehicle Registration _____________________ Owner’s Certification of Liability Insurance I certify for the motor vehicle described above that I have financial responsibility as required by law. Print full name of insurance company authorized in N.C. (not an agency or group) ______________________________________________________________________ Policy Number - if policy not issued, include name of agency binding coverage ______________________________ Signature of Owner _____________________________________________________ Date ____________________ Print and Sign Personalized Plates ($60) - You are allowed four (4) spaces: *Personalization cannot be all numbers 1st choice S __ __ __ __ M 2nd choice S __ __ __ __ M
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