Fighting Cystic Fibrosis License Plate
Power of Attorney Information
In order to purchase a Fighting Cystic Fibrosis license plate, you have to visit your local Alabama County
Motor Vehicle Office to complete a commitment to purchase form. If you wish, you can fill out the
attached Power of Attorney form that will allow a Laps for CF representative to complete the form on
your behalf. Important information to note:
The Power of Attorney (POA) form must be filled out and signed by the person who owns the
vehicle (person whose name is on the car title). If this person owns more than one vehicle, you
can use the same form. If you family owns two vehicles but they are in two different names, you
must use two POA forms.
This form needs to be notarized. If you do not know a notary, you should be able to go to any
bank to get the form notarized.
Please mail the ORIGINAL SIGNED copy of the POA form to the Laps for CF office with your
check. We cannot accept a copied or scanned version of the POA.
You MUST include a check for $50 per license plate/vehicle with the form. Please see the
following page for information on who to make the checks payable to according to your county
When a Laps for CF representative takes your form & check to the Motor Vehicle Office, we will
receive a receipt that we will mail back to you. YOU MUST HOLD ONTO THIS RECEIPT IN ORDER
TO GET YOUR CF LICENSE PLATE. THE STATE WILL NOT ALLOW YOU TO PICK UP YOUR PLATE
WITHOUT THIS RECEIPT. You will keep your current license plate until 1,000 CF plates are sold at
which time you will be notified that the CF plates are ready for pick up.
Please return your completed POA form and check to:
Laps for CF
6 Office Park Circle, Suite 209
Birmingham, AL 35223
Please return this form as soon as possible. The sooner we sell 1,000 plates, the sooner we can
get them on our cars!!
If you have any questions, please contact Stephanie Kite with Laps for CF at 205‐871‐9140 or
. If you do not wish to fill out a Power of Attorney form, you may visit your Local County
Motor Vehicle Office on your own and complete the commitment to purchase form. Just tell them that you
would like to make a commitment to purchase a Fighting Cystic Fibrosis license plate.