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BLACK & WHITE PORCELAIN / STAINLESS STEEL LICENSE PLATE ORDER FORM Our Porcelain plates will have a diamond inserted between the 3 rd and 4 th digits from the right. Our Stainless Steel plates will have white reflective sheeting on the numbers, and will have NO diamond. PLEASE FILL IN THE LICENSE NUMBER TO BE REPLICATED IN THE SPACE PROVIDED BELOW. (Please See Restrictions below) Porcelain: Stainless Steel: We Are Authorized by, and Follow the Regulations of the Delaware Division of Motor Vehicles. We Ship Priority Mail, Usually Within 2-3 Weeks Of Receiving Your Order. SHIP TO: ______________________________________________ PHONE:_______________________________________ ______________________________________________ ______________________________________________ DATE:_________________________________________ *We are required by the DE Division of Motor Vehicles to have a copy of the valid registration card for the license plate number ordered. You must supply this to us.* Please remit payment to: The Delaware Historic Plate Company P.O. Box 9261 Newark, DE 19714 (302) 369-TAGS (8247) fax: (302) 737-6499 Price: (Check One) Stainless License Plate: $115.00 (no frames available for 6 digit ss plates) Porcelain License Plate: $115.00 (no frames available for “MC” plates) Black Frame Only: $30.00 (black powder coated galvanized steel) White Frame Only: $30.00 (white powder coated galvanized steel) Stainless Frame Only: $30.00 (bright polished finish stainless steel) Stainless Plate & Frame: $140.00 (circle: Stainless Steel, Black, White) Porcelain Plate & Frame:$140.00 (circle: Stainless Steel, Black, White) ALL orders include shipping & handling and also include 4 new rubber grommets Payment Type: (Check One) Visa/Mastercard/Amex/Discover Check or Money Order If paying by credit card, please fill this section completely. Cardholder Name (as on card):___________________________________ Credit Card No.:______________________________________________ Expiration Date:________________________ CID Code _____________ Signature (required):___________________________________________ Check out our website for pictures of samples of our plates, frames, and other new products including our new beach/city plates. www.DHPtags.com Restrictions for Porcelain Plate Passenger License Plates Cannot Exceed 86999. Commercial Plates Cannot Exceed C9999. Dealer Plates MUST be ordered at DMV. *Motorcycle Plates Cannot Exceed MC9999. HAM Operator License Plates, Please Call. We Cannot Produce Any CL, PC, RV, RT, T, or Vanity Plates, as they were never issued in Porcelain. Sizes: Porcelain Plate measures 5 ½” x 9 ½” Motorcycle Plate measures 4” x 7” Restrictions for Stainless Steel Plate Passenger License Plates Cannot Exceed 200000. PC Plates Cannot Exceed PC9999. Commercial Plates Cannot Exceed C50000. Dealer Plates MUST be ordered at DMV. Farm Tractor Plates Cannot Exceed FT9999. Trailer Plates Cannot Exceed T9999. We Cannot Produce CL, RV, RT, MC, or Vanity Plates as they were never issued in Stainless. Sizes: 5 digit or less plate measures 5 ½” x 9 ½” 6 digit plate measures 5 ½” x 11”

BLACK & WHITE PORCELAIN / STAINLESS STEEL …dehistoricplate.com/documents/OrderForm.pdfBLACK & WHITE PORCELAIN / STAINLESS STEEL LICENSE PLATE ORDER FORM Our Porcelain plates will

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BLACK & WHITE PORCELAIN / STAINLESS STEEL LICENSE PLATE ORDER FORM

Our Porcelain plates will have a diamond inserted between the 3rd and 4th digits from the right. Our Stainless Steel plates will have white reflective sheeting on the numbers, and will have NO diamond.

PLEASE FILL IN THE LICENSE NUMBER TO BE REPLICATED IN THE SPACE PROVIDED BELOW. (Please See Restrictions below)

Porcelain: Stainless Steel:

We Are Authorized by, and Follow the Regulations of the Delaware Division of Motor Vehicles.

We Ship Priority Mail, Usually Within 2-3 Weeks Of Receiving Your Order.

SHIP TO: ______________________________________________ PHONE:_______________________________________ ______________________________________________ ______________________________________________ DATE:_________________________________________

*We are required by the DE Division of Motor Vehicles to have a copy of the valid registration card for the license plate number ordered. You must supply this to us.*

Please remit payment to: The Delaware Historic

Plate Company P.O. Box 9261

Newark, DE 19714 (302) 369-TAGS (8247)

fax: (302) 737-6499

Price: (Check One) � Stainless License Plate: $115.00 (no frames available for 6 digit ss plates) � Porcelain License Plate: $115.00 (no frames available for “MC” plates) � Black Frame Only: $30.00 (black powder coated galvanized steel)

� White Frame Only: $30.00 (white powder coated galvanized steel)

� Stainless Frame Only: $30.00 (bright polished finish stainless steel)

� Stainless Plate & Frame: $140.00 (circle: Stainless Steel, Black, White) � Porcelain Plate & Frame:$140.00 (circle: Stainless Steel, Black, White)

ALL orders include shipping & handling and also include 4 new rubber grommets

Payment Type: (Check One) � Visa/Mastercard/Amex/Discover � Check or Money Order

If paying by credit card, please fill this section completely. Cardholder Name (as on card):___________________________________ Credit Card No.:______________________________________________ Expiration Date:________________________ CID Code _____________ Signature (required):___________________________________________

Check out our website for pictures of samples of our plates, frames, and other

new products including our new beach/city plates.

www.DHPtags.com

Restrictions for Porcelain Plate

Passenger License Plates Cannot Exceed 86999. Commercial Plates Cannot Exceed C9999. Dealer Plates MUST be ordered at DMV. *Motorcycle Plates Cannot Exceed MC9999. HAM Operator License Plates, Please Call. We Cannot Produce Any CL, PC, RV, RT, T, or Vanity Plates, as they were never issued in Porcelain. Sizes: Porcelain Plate measures 5 ½” x 9 ½” Motorcycle Plate measures 4” x 7”

Restrictions for Stainless Steel Plate Passenger License Plates Cannot Exceed 200000. PC Plates Cannot Exceed PC9999. Commercial Plates Cannot Exceed C50000. Dealer Plates MUST be ordered at DMV. Farm Tractor Plates Cannot Exceed FT9999. Trailer Plates Cannot Exceed T9999. We Cannot Produce CL, RV, RT, MC, or Vanity Plates as they were never issued in Stainless. Sizes: 5 digit or less plate measures 5 ½” x 9 ½” 6 digit plate measures 5 ½” x 11”

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