Bay plate funding goes to the Chesapeake Bay Trust, a non-profit organization that works to restore our shorelines, teach Maryland students, green neighborhoods and clean-up local rivers and streams. cbtrust.org 410.974.2941

MAEF MAEF

Where Does Your Monev Go? When you spend $20 to upgrade your license plate to a Chesapeake Bay plate or Agricultural plate, your money goes directly to support educational programs and Chesapeake Bay clean-up projects throughout the state. Complete this simple application and upgrade your plate today while you make Maryland better.

Funding from the Agricultural plate goes to the Maryland Agricultural Education Foundation, a non-profit organization dedicated to advancing educational programs and agricultural literacy statewide. agtagmd.com 410.939.9030

www.mva.marvland.gov

VR-302-12/20

APPLICATION FOR CHESAPEAKE BAY/ AGRICULTURAL LICENSE PLATES Yes!

Chesapeake Bay Plate Agricultural Plate

MAEF

FULL NAME OF VEHICLE OWNER

FULL NAME OF CO-OWNER

STREET ADDRESS

CITY OR TOWN COUNTY

STATE ZIP CODE

TITLE NUMBER

MAKE OF VEHICLE YEAR

VEHICLE ID NUMBER

PRESENT TAG NUMBER

STICKER NUMBER

EXPIRATION MONTH/YEAR

INSURANCE CERTIFICATION

NAME OF INSURANCE COMPANY

POLICY OR BINDER NUMBER

NAME OF AGENT OR BROKER I/We hereby certify, under penalty of perjury, that the statements made herein are true and

correct to the best of my knowledge, information and belief.

SIGNATURE OF OWNER DATE

SIGNATURE OF CO-OWNER DATE

I want to upgrade my license plate to help Maryland's natural resources!