Golf Cart Application

TOWN OF SWANSBORO

GOLF CART APPLICATION
Applicant Information
Date*

MonthDayYear
Ex: 07/01/2025
Applicant Name*
Ex: Samual Swann
Drivers License Number*
Ex: NC-12345678 (Omit Leading 0's)
Home Address*
Ex: 123 Anywhere St. Anytown, NC 12345
Mailing Address
**If different than Home Address
Phone*
Ex: (910)326-5151
Email Address*
example@example.com
Cart Information
Manufacture*
Ex: Club Car
VIN*
Insurance Company & Policy Number*
Additional Drivers

Must be 16 years old with valid Drivers License
Driver Name
Ex: Samual Swann
Drivers License Number
Ex: NC-12345678 (Omit Leading 0's)
Driver Name
Ex: Samual Swann
Drivers License Number
Ex: NC-12345678 (Omit Leading 0's)
Driver Name
Ex: Samual Swann
Drivers License Number
Ex: NC-12345678 (Omit Leading 0's)
*I have read and understand the Town Ordinance and Regulations regarding the use and operation of golf carts and agree to comply with these laws and regulations releasing the Town from liability for the operation of the cart within the Town.
Signature*
Type first & last name to eSign
Date*

MonthDayYear
Date
Should be Empty:

TOWN OF SWANSBORO