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aPPlicatiOn FOR PERSOnaliZED, aMatEUR RaDiO OPERatOR …

PERSO naliZED REGiStRatiOn PlatE inFORMatiOnDaytime Telephone NumberHome _____Office _____aaPPlicant anD VEHiclE inFORMatiOn - List Information Currently Shown on Title or Registration RaDiO OPERatOR REGiStRatiOn PlatE inFORMatiOnDPRESS PHOtOGRaPHER REGiStRatiOn PlatE inFORMatiOnMake of VehicleRegistration Plate NumberExpiration DateThe number of allotted letters or numbers in combination varies depending on the selected registration plate type. Please see the reverse side of thisapplication for additional instructions regarding the allotted spaces. No other special characters are available. Please use capital letters and print clearly. FIRST CHOICESECOND CHOICETHIRD CHOICEEXaMPlES ..I am the holder of a valid aMatEUR RaDiO Station License (copy must be attached) issued by the Federal Communications Commission dated _____ and have been assigned call letters _____.

PERSOnaliZED REGiStRatiOn PlatE inFORMatiOn Daytime Telephone Number Home _____ Office _____ a aPPlicant anD VEHiclE inFORMatiOn - List Information Currently Shown on Title or Registration Card. B c aMatEUR RaDiO OPERatOR REGiStRatiOn PlatE inFORMatiOn D PRESS PHOtOGRaPHER REGiStRatiOn PlatE inFORMatiOn Make of Vehicle Registration Plate Number Expiration Date

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