Custom Rotary New York License Plate Interest List
If you are a Rotarian with a vehicle registered in New York State and are interested in obtaining a custom Rotary license plate when they become available, please complete this form. Thank you!
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Address *
City *
Zip Code *
Daytime Phone Number *
Current NYS License Plate Number *
I am interested in a *
Rotary Club Name *
Rotary District Number *
Do you currently have a Rotary custom plate, which you wish to upgrade to the new plate?
Clear selection
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy