Ohio State Championship License Plate - SIGN UP
REV - 8-30-16 - If any technical issues prevent you from completing the Sign-Up form, please contact Tyler Moore via moore.tyler.n@gmail.com. Make sure to include "Cannot Submit Pledge" in the subject line.
First Name *
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Last Name *
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Street Address *
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City *
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State *
Two-letter abbreviation, in caps (e.g., TN)
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ZIP *
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County *
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One of your current license plates *
Letters in all caps. Include spaces.
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Phone Number *
Should be in the format "xxx xxx-xxxx"
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Your Email Address *
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Number of Ohio State Championship license plates you pledge to buy *
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Does your Pledged number include Gifts to others? *
Ohio State University Affiliation - check all that apply *
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