APPLICATION FOR UNIVERSITY OF WYOMING PLATES APPLICANT AND VEHICLE INFORMATION CURRENT PLATE INFORMATION County Where Vehicle is Registered Current License Plate Number w/Expiration Date
Trang 1APPLICATION FOR UNIVERSITY OF WYOMING PLATES
APPLICANT AND VEHICLE INFORMATION
CURRENT PLATE INFORMATION
County Where Vehicle is Registered Current License Plate Number w/Expiration Date
OPTIONAL - EMBOSSED (Additional fee of $50.00 payable to WYDOT)
D I would like my plate embossed for an additional fee of $50.00
(THESE PLATES MAY TAKE 10-12 WEEKS FOR PROCESSING.)
PLATE TYPE - $130.00 FEE PAYABLE TO THE UNIVERSITY OF WYOMING
D University of Wyoming*
*Completed application shall be mailed to the address shown at the bottom of this form, along with a fee of $130.00 made payable to the University of Wyoming ($100 fee for UW scholarships or student programs and $30 special plate fee) The application will be reviewed by the University and, if approved, forwarded to the Wyoming Department of Transportation Plates will be issued in consecutive order and forwarded to the County Treasurer's Office you have listed Current plates must be surrendered to the Treasurer's office upon issuance of the UW plates
AFFIDAVIT
I hereby swear or affirm under penalty of perjury that all information on this application is true and correct
APPLICANT SHALL MAIL THIS APPLICATION AND FEE PAYABLE TO THE UNIVERSITY OF WYOMING: University of Wyoming, Alumni Association, 214 South 14'" Street, Laramie, WY 82070
FOR ADDITIONAL INFORMATION PLEASE CALL: 307-777-4709 or visit our
website at http://www.dot.state.wy.us
FOR WYOMING DEPARTMENT OF TRANSPORTATION AND UNIVERSITY OF WYOMING USE ONLY
MV-143 (9/12)