License Plate and Placard Return Form

1
Select your items.
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My Bag
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
Great Product Name
$20
Quantity:1
Size:Small
RemoveEdit
ORDER SUMMARY
Total costUSD
Maryland License Plates
If you have a pair of matching plates or a single plate, select 1 for the quantity.
$15.00Edit
Back
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9
10
Quantity
Subtotal: $0.00
Other State License Plates
Yes! You can return any other US State License Plate here too!
$25.00Edit
Back
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1
2
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9
10
Quantity
Handicap Placard
Return your handicap placard here for yourself or another person.
$15.00Edit
Back
1
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Quantity
Total cost $0.00
First Name
Last Name
2
Upload an image of the license plate or placard being returned in drop box. * This field is required.
3
Upload an image of your (person returning) Driver License* This field is required.This is required by law per Maryland MVA.
4
Name* This field is required.
First Name
Last Name
Suffix
5
E-mail* This field is required.
example@example.com
6
Phone Number* This field is required.
7
Address* This field is required.
Street Address
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