SPECIAL OFFER – $40 Fee Waived (while supplies last) SPECIAL OFFER – $40 Fee Waived (while supplies last). Fill out and submit this application to reserve your new license plate APPLICATION FOR: Sportsmen’s National Land Trust Name * Address: * City/State/Zip * Daytime Telephone: Drivers License #: * Current Plate# (if applicable) Ship Plate to: * (Enter a Registry of Motor Vehicles Full Service Location. Visit www.mass.gov/rmv to find the nearest one) Contact me about selecting a 2-digit plate number - $100 If you check a box, enter your email here: INSTRUCTIONS: For this special offer, fill out the information requested above and click the SEND Button. If you would like to help the SNLT, go to www.snltmassachusetts.org, complete and mail the completed application found there with a $40 check for the special plate fee. Please note: Your check will not be cashed until 750 pre orders are received. Once your check is processed the $40.00 is non refundable. Make check for $40 payable to Mass Dot (checks are good for one year). (Note: There is a $20 plate swap fee plus any applicable registrations fees due at the time of plate pick-up. These fees will depend on your current plate number and expiration year. For instance, your current plate may expire in August of 2015. If your new plate expires in January of 2017, the registration system will charge you an additional amount for the extra time you receive on your registration.) If you prefer to mail this form, you can print it an email it. Do not send this application and check to the RMV. Send to: Sportsmen’s National Land Trust P.O. Box 311 Agawam, MA 01001 You will be notified by mail that your plates have been shipped to the requested Registry of Motor Vehicles branch. Bring your registration and current plates (if applicable) to the branch at that time. Before manufacturing of theseplates begins, 750 pre-orders need to be collected. Once that number is achieved, it will take approximately 6 months to manufacture the plates and for them to reach the branches. Registrations must be renewed every two years If you are putting your plate on a newly acquired vehicle, you must pay applicable sales tax, title and registration fees at the time of registration. These special plates are available to Massachusetts residents using this form only; Except for this Special Offer, there is no online ordering process at this time. Unless special arrangements are made, License Plates will use randomly assigned numbers only.