Formtest

COLORADO’S EXCLUSIVE WILDLIFE 
LICENSE PLATE ONLINE 
APPLICATION FORM

Yes, I want to support wildlife and environmental 
education in Colorado and the Raptor Education 
Foundation. By applying and paying online I will 
save $25 off the normal membership 
application fee of $150.

Name-First MiddleLast

Address   City   Zip

County   Number of Plate Sets Requested @$125 each.

Email   Phone

You must be a Colorado Resident to apply for the license plate membership

You must complete all fields for your submission to be accepted.  Once you have submitted this application form you will need to process your payment (credit or debit card) online via PayPal- Just click on the PayPal Button that appears on the next page and completely fill out the required fields.  Once you have submitted your payment successfully you will receive e-mail notification almost instantly.  Keep this for your records-this will match our records and we will process your application for Colorado’s only wildlife/environmental license plate.  You should also print this page for your records.