Petition for participation in the Indiana BMV SGR license plate program

Petition For Participation In The Special Group Recognition License Plate Program
Indiana Bicycle Coaltion, Inc. DBA Bicycle Indiana, Inc. 242 E Market Street, Suite 102, Indianapolis, IN 46204
Organization Contact: Nancy Tibbett Contact Telephone: 317-466-9701 Contact Email: nancy@bicycleindiana.org
To The Indiana Bureau of Motor Vehicles

Each of the undersigned represents that the individual is a resident of the state of Indiana, resides at the address provided on this petition, and by signing this petition, is pledging to purchase this organization’s distinctive license plate in the event the application is approved and the license plate is available for registration.
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Petition For Participation In The Special Group Recognition License Plate Program