Name_______________________________________ Address_____________________________________
City_________________ State________ Zip_______
Phone (h)_________________(w)________________
Email_______________________________________
Amount enclosed $_____________________
__ Check (payable to MCHS)
__ Visa __ MasterCard __Discover
Account#_______________________ Exp________
Signature___________________________________
Plates are ordered through MCHS and mailed directly to the patron. Upon receipt of new plates, patron must return old plates to any DMV office (including the Express offices.) Allow 4-6 weeks for delivery.
Mail to:
Montgomery County Humane Society
License Plates
14645 Rothgeb Drive
Rockville, MD 20850
Or fax it to: 301.279.1998
Questions: kalexander@mchumane.org |