Collegiate Indiana License Plate Order Form
Taylor University 2009
 

To request a Taylor University License Plate, please follow the instructions below. You will receive, under separate cover, a tax-deductible gift receipt for each plate requested.

  1. Fill in the form below.
  2. Print the form.
  3. Include a check made out to Taylor University in the amount of $15.00 for each Bureau of Motor Vehicles Authorization Form requested.
  4. Mail to: Taylor University, 236 West Reade Ave., Upland, IN 46989-1001 Attn: University Relations

 

Personal Information
Name:
Address:
City:
County:
State:
Zip:
Day Phone:
Evening Phone:
 

License Place Authorization Forms

Please send a quantity of   authorization form(s) at $15 each.