Marine Corps License Plates Request Form - Illinois Secretary Of State Page 2

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Random-Number Marine Corps License Plates Request Form
Name _____________________________________________________________________________________________
Address ___________________________________________________________________________________________
City/State/ZIP_______________________________________________________________________________________
Telephone Number___________________________________________________________________________________
License Plate Number________________________________________Expiration Date ____________________________
o Passenger
o B-Truck
Type of Plate
Vanity & Personalized Marine Corps License Plates Request Form
Vehicle Owner’s Name
Address
OFFICE USE ONLY
City
State
ZIP
Daytime Telephone Number (8 a.m. - 4:30 p.m.)
Current License Plate #
Expiration Date
1st choice
2nd choice
3rd choice
o Yes
o No
If your exact 1st, 2nd and 3rd choices are not available, would you like the next plate number available in that series?
If you want a space between letters, please indicate with a slash mark. An automatic space is required between letters and numbers.
Vanity Marine Corps Plates
Personalized Marine Corps Plates
examples
A B C D
A B C
Numbers 1-999
1 or 2 letters plus 1-99
or
or
Note: 4-letter Marine Corps plates cannot have a space. Spacing will vary with the type of plate requested.
1, 2, 3 or 4 letters
3 letters plus 1-9
Proper completion of this form is the customer’s responsibility.
Vanity/Personalized License Plates
• No refund or adjustment will be made for a change of choice or spacing after a plate has been ordered or if the request
form is incorrectly completed.
• The Secretary of State’s office is authorized to recall a plate determined to be obscene or offensive.
• All request forms should indicate whether you want the Secretary of State to assign one of your choices with the next
available number if your exact request is unavailable.
• If you wish to submit more than three requests, attach additional selections to the request form.
DO NOT
• Intermix letters and numbers
• Use a space between numbers
• Use lowercase letters
• Use characters, symbols, foreign words or symbols of punctuation, such as dashes or periods
• Select obscene or offensive combinations
First-Time Registrations
• Money must accompany request forms on all first-time registrations.
• A leased vehicle is eligible for vanity or personalized plates.

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