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Reserved Plate Request

  1. reserved plate info

  2. Reserved Number Request Form

  3. Please use this form to request a low number from the available list. The request must be made by a Converse County resident with a current registration and any plate awarded in this process must be registered to a vehicle in the applicant's name by April 13th. An applicant can request a maximum of 5 plates.

  4. Request #1 Plate Type*

  5. Request #2 Plate Type

  6. Request #3 Plate Type

  7. Any Reserved Number:

  8. Request #4 Plate Type

  9. Request #5 Plate Type

  10. Leave This Blank: