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Home
Get a license plate
NJ
DC
CT
Other States
Donations and Memberships
Who Benefits
Endorsements
Contact
Application information for CT “Choose Life” License Plate
After you submit your information and membership donation of $25, you will get a receipt for your membership donation. We will complete and sign the state's required form and mail the form to you. All you need to do then is sign the form and submit it to the CT Department of Motor Vehicles with a one-time fee of $65.
Your plate use includes the requirement to maintain annual membership with The Children First Foundation.
Your "Choose Life" plate membership donation helps The Children First Foundation to support life and adoption for unborn and newborn children through non-profit Pregnancy Care Centers, Maternity Homes, and Safe Haven efforts in the State of Connecticut.
Pick one:
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Are you replacing your current marker plate with an “off-the-shelf” plate from the “Choose Life” series?
Are you transferring your current marker, vanity, or low number plate to the “Choose Life” background?
Are you applying for a new vanity plate on the “Choose Life” background?
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Yes, I understand that, in order to obtain my “Choose Life” license plate, I will need to become a member of The Children First Foundation for a $25 annual membership donation (tax-deductible).
Name as it appears on registration:
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Indicates required field
First Name
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Middle Initial
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Last Name
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Address as it appears on registration
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Current plate number
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Driver license number
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Date registration expires (Month)
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Date registration expires (Date)
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Date registration expires (Year)
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Vehicle make
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Vehicle model
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Vehicle year
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Vehicle Identification Number (VIN)
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Is there a nonprofit who referred you?
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Registration type (Passenger, Combination, etc.)
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Is the vehicle leased?
If the vehicle is leased, what is the lessee's name?
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If the vehicle is leased, lessee’s address:
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Line 1
Line 2
City
State
Zip Code
Country
If applying for a new vanity plate, write plate number requests on the form when you receive it in the mail.
WHEN YOU CLICK "SUBMIT" BELOW, YOU WILL BE DIRECTED TO THE DONATION PAGE. TO COMPLETE YOUR MEMBERSHIP APPLICATION, DONATE $25 OR MORE AT THIS TIME.
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