License Plate Form

California Agriculture Specialty License Plate Form
Name

First Name Last Name
Email
example@example.com
Telephone Number
(555)555-5555
FFA Chapter (Optional)
General:

The license plate ordered will be assigned to a vehicle in my possession.
Once a license plate is purchased (ordered), no refunds will be issued.
Annual Renewal Fees:

When a plate is on a registered vehicle, you will be charged an Annual Plate Renewal Fee at the time of renewal. If the plate is not on a registered vehicle, you must pay an Annual Retention Fee to retain your interest in the license plate.

Terms:

By signing below, I hereby acknowledge that I have read and agree to the information provided. Under penalty of perjury, I declare that I have completed this application to the best of my knowledge and belief; it is true, correct, and complete.
Please upload a photo of the vehicle REGISTRATION that will receive a Cal Ag Plate

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I have read the above and agree to the DMV Terms to allow California FFA to submit my California Specialty License Plate form by signing below:

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California Agriculture Specialty License Plate Form