State Expiration Date 2nd choice 1 ZIP Vanity & Personalized University of Illinois Plates Request Form Vehicle Owner’s Name Address City Daytime Telephone Number (8 a.m. - 4:30 p.m.) Current License Plate # 1st choice A B C D If your exact 1st, 2nd and 3rd choices are not available, would you like the next plate number available in that series? examples Vanity Collegiate Plates Numbers 1-999 or 1, 2, 3, 4, 5 or 6 letters • No refund or adjustment will be made for a change of choice or spacing after a plate has been ordered or if the request form is incorrectly completed. • The Secretary of State’s office is authorized to recall a plate determined to be obscene or offensive. • All request forms should indicate whether you want the Secretary of State to assign one of your choices with the next available number if your exact request is unavailable. LICENSE PLATES • If you wish to submit more than three requests, attach additional selections to the request form. DO NOT • Intermix letters and numbers • Use a space between numbers • Use lowercase letters • Use characters, symbols, foreign words or symbols of punctuation, such as dashes or periods • Select obscene or offensive combinations First-Time Registrations • Money must accompany request forms on all first-time registrations. • A leased vehicle is eligible for vanity or personalized plates. OFFICE USE ONLY ❏ No 3rd choice ❏ Yes Personalized Collegiate Plates 1, 2 or 3 letters plus 1-99 or 4 letters plus 1-9 If you want a space between letters, please indicate with a slash mark. An automatic space is required between letters and numbers. A B C D E F Note: Spacing will vary with the type of plate requested. Proper completion of this form is the customer’s responsibility. Vanity/Personalized Plates Jesse White Secretary of State Printed by authority of the State of Illinois. April 2013 — 5M — VSD 725.3 Illinois colleges and universities are diverse institutions of research, athletics and higher learning as well as centers for cultural exchange. With this in mind, it is an honor to recognize Illinois colleges and universities — their students, faculty, staff and alumni — by offering Illinois motorists Collegiate License Plates for their vehicles. Registration and Fee Information University of Illinois License Plates are multi-year and may be displayed on passenger vehicles, B-trucks and vans weighing 8,000 pounds or less. To purchase University of Illinois plates, please submit the appropriate request form along with your license plates registration or renewal application and the following applicable fees: Random-Number University of Illinois License Plates • Newly-acquired vehicle/first-time issuance — $236 ($95 title fee, $101 registration fee, $40 special plate fee) The University of Illinois is one of the many colleges and universities participating in the Collegiate Plate Program. By purchasing a set of these plates, you will be helping support scholarships for students at the university while displaying your pride for your favorite school or alma mater. Vanity and personalized University of Illinois plates also are available so you can individualize your plates. • Currently titled vehicle/first-time issuance — $141 I encourage you to become a partner in higher education by supporting this unique source of financial aid for Illinois college students. I look forward to serving you. Vanity University of Illinois License Plates • Newly-acquired vehicle/first-time issuance — $330 ($101 registration fee, $40 special plate fee) Name Phone Number Address City/State/ZIP Expiration Date • Current plates expire within 90 days — $170 ($101 registration fee, $40 special plate fee, $29 replacement fee) • Current plates do not expire within 90 days — $69 ($40 special plate fee, $29 replacement fee) • Annual renewal — $128 ($101 registration fee, $27 special plate fee) ($95 title fee, $101 registration fee, $94 vanity fee, $40 special plate fee) • Currently titled vehicle/first-time issuance — $235 ($101 registration fee, $94 vanity fee, $40 special plate fee) Jesse White Secretary of State Random-Number University of Illinois License Plates Request Form • Current plates expire within 90 days — $264 ($101 registration fee, $94 vanity fee, $40 special plate fee, $29 replacement fee) • Current plates do not expire within 90 days — $163 ($94 vanity fee, $40 special plate fee, $29 replacement fee) • Annual renewal — $141 ($101 registration fee, $13 vanity fee, $27 special plate fee) Personalized University of Illinois License Plates • Newly-acquired vehicle/first-time issuance — $283 ($95 title fee, $101 registration fee, $47 personalized fee, $40 special plate fee) License Plate # ❏ Passenger ❏ B-truck Send request for Random-Number University of Illinois License Plates to: Secretary of State Vehicle Services Department Special Plates Division 501 S. Second St., Rm. 520 Springfield, IL 62756 Send request for Vanity/Personalized University of Illinois License Plates to: Secretary of State Vehicle Services Department Personalized Plates Section 501 S. Second St., Rm. 520 Springfield, IL 62756 • Currently titled vehicle/first-time issuance — $188 ($101 registration fee, $47 personalized fee, $40 special plate fee) • Current plates expire within 90 days — $217 ($101 registration fee, $47 personalized fee, $40 special plate fee, $29 replacement fee) • Current plates do not expire within 90 days — $116 ($47 personalized fee, $40 special plate fee, $29 replacement fee) • Annual renewal — $135 ($101 registration fee, $7 personalized fee, $27 special plate fee) University of Illinois License Plates also may be requested through Pick-a-Plate at www.cyberdriveillinois.com. For more information, call 217-785-5215, or visit