| COMPLETE THIS FORM AND MAIL WITH CHECK OR MONEY ORDER TO; VICL 5304 YACHT HAVEN GRANDE SUITE 104, ST THOMAS, USVI 00802 PHONE: 1-800-524-2061/ FAX: 340-776-3074 E-MAIL: info@vicl.org $60.00 for set of (2) plates, including shipping Plates can be legally registered at the Virgin Islands Bureau of Motor Vehicles (Registration Not Included) Allow 2-3 weeks for delivery. Please use one order form for each set of plates. Make Check or Money Order payable to VICL You May Also Pay Using our PayPal Account Below |

CUSTOM VICL LICENSE PLATES |
| NAME: ___________________________________________________________ ADDRESS: ________________________________________________________ CITY: ____________________________________________________________ EVENING PHONE: ___________________ DAY PHONE: ___________________ E-MAIL: ___________________________________________________________ SELECT YOUR TOP 3 NUMBER PREFERENCES. IF NONE OF THESE ARE AVAILABLE YOU WILL RECEIVE THE NEXT AVAILABLE SEQUENTIAL NUMBER. (1) ____ ____ ____ (2) ____ ____ ____ (3) ____ ____ ____ NUMBERS CURRENTLY AVAILABLE ARE 1 THROUGH 250 |
| HERE'S A GREAT OPPORTUNITY TO DISPLAY YOUR BOATERS PRIDE AND SUPPORT YOUR VIRGIN ISLANDS CHARTER YACHT LEAGUE A CUSTOM VIRGIN ISLANDS LICENSE PLATE OF YOUR VERY OWN FOR YOUR PERSONAL VEHICLE. THESE ARE ACTUAL LICENSE PLATES THAT CAN BE REGISTERED AND PLACED ON YOUR CAR OR TRUCK. GREAT FOR YOU OR THE BOATER IN YOUR LIFE! THEY MAKE EXCELLENT GIFTS AND CAN BE SHIPPED ANYWHERE. |
| $60.00 FOR A SET OF PLATES INCLUDING SHIPPING AND HANDLING. |
