Olympia 50th Anniversary Special Use License Plates Form
All questions below are required in order for us to accept your order.  In order for your order to be processed, you need to send $40 cash or check to any Olympia location.  You can also mail your payment to 903 E 800 North Road Stanford, IL 61774 attn: Andy Walsh.  Finally, a copy of your updated vehicle registration card is required in order to process the order.  All payments and copies of registration cards are due by March 1st, 2023.  
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Last Name *
First Name *
Address *
City *
State *
Zip Code *
Vehicle Year *
Vehicle Make *
Driver's License Number *
Current License Plate of vehicle plates are going on *
Month/Year of Plate Expiration *
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