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Mississippi Sickle Cell Foundation Specialty Tag
We are happy to announce that the Mississippi Sickle Cell Foundation now has a specialty license plate!
Show your support for the MSCF and Sickle Cell Awareness by showcasing this beautiful tag on your vehicle. Pre-orders are now being taken, so be sure to reserve yours today!

The tag cost is $31 paid by check. After submitting your electronic form, send your check to:
MISSISSIPPI SICKLE CELL FOUNDATION
SUBJECT LINE: TAG PRE-ORDER
350 W. Woodrow Wilson Ave.
Ste. 731-B
Jackson, MS 39213

Since you are only paying for a specialty tag and not an annual tag renewal, your tag registration dates will remain the same as your current tag.

Your MSCF tag will be available in January 2018 and we will notify you when it is available for pick up at your county courthouse. *This is contingent upon the pre-sale of at least 300 tags.

You will have 60 days from our notification to claim your tag. You will be required to turn in your existing tag when you pick up your specialty tag.

*IMPORTANT: If you fail to pick up your tag within the time indicated after notification, the special tag fee must be paid again at the time the tag is picked up.*

For more information, please contact Jeanne J. Tate, MFCS Chair, at 601.366.5874 or e-mail mssicklecellfind@yahoo.com

TO PRE-ORDER YOUR SPECIALTY TAG, PLEASE COMPLETE THE FORM BELOW

Vehicle Owner First Name
Your answer
Vehicle Owner Last Name
Your answer
Permission to contact you via email regarding your specialty tag
Contact Phone Number for Notification
Your answer
Address 1
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Address 2
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City
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State
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Zip Code
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County of Residence
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Current Tag Number
Your answer
Electronic Signature
Please type in your name as confirmation of your electronic signature on this order form.
Your answer
Date Signed
MM
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DD
/
YYYY
I accept this as my electronic signature
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