Hiwassee College State of Tennessee License Plate Order Form

I would like to purchase a Hiwassee College license plate for my vehicle. Enclosed please find my check made payable to Hiwassee College and order for:

$35.00 standard plate. Random number assignment.

$70.00 personalized plate. Desired number/characters:

Name of actual vehicle owner:

Address:

City: State: Tennessee    Zip:

County of Tennessee Residence:

Home Phone (including area code):

Work Phone (including area code):

Email: