COLORADO RESPECTS WILDLIFE PRINTED FORM Use this to submit membership and payment in the mail

COLORADO RESPECTS WILDLIFE PRINTED FORM
Use this to submit membership and payment in the mail, or by Fax. (FAQ's)

COLORADO'S ONLY
LICENSE PLATES WHICH BENEFIT WILDLIFE
AND ENVIRONMENTAL EDUCATION

Yes, I want to support wildlife in Colorado and the
Raptor Education Foundation's environmental education
mission. Enclosed is my application.

1st Name ____________________________________________________________
2nd Name____________________________________________________________Include Leasing Company
No P.O. Box Addresses allowed-use Mailing Address below if different than your actual address.

Address __________________________________________________________

City/Zip___________________________________County__________________

Phone________________________e-mail_______________________________
Amt. Enclosed ($100 per plate set-one year membership) $_______________
($65 per plate set-six month membership) $_______________
($35 per Military/Police Special) $_______________

Check One (annual Members) ___ plus Gold Pin & book combo
You may pay by check, credit card, or money order. Save time by Paying Online or Phoneline
You must still fill out and send or Fax in this form in unless paying Online.

Affiliate's name if applicable ______________________________________________

Mailing Address________________________________________________________

City/Zip_____________________________State_____

DO NOT SEND CASH Check Payments Require 15 Days to Process

Signature_________________________________________________Date___________
Please charge my
MasterCard____Visa____Acct#_______________________________Exp.Date_______
When REF processes your Application Form REF will send you an official REF Authorization Voucher which You present to your local county license plate office for exclusive issue of this specialty plate. All regular vehicle license fees, taxes, etc., are your responsibility. DMV charges a one-time processing fee ($25) for initial issuance to each vehicle. Your donation to REF is tax deductible to the extent allowable by law as a contribution to a 501 C-3 non-profit education organization. The actual plate issued may have slight variations from design shown due to plate printing capabilities and the color on your computer's monitor.
Eagles Are Forever License Plate Frame Available
SEND TO: REF WILDLIFE PLATE, P.O.BOX 200400, Denver, Colorado, 80220
Or Fax to ( credit card payments only)- 303-680-8502 Questions? Call 303-680-8500
E-Mail: raptor2@usaref.org

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