Vehicle Registration Request

| Print |



Owners Name(include middle initial)__________________________

Owners address ___________________________________________

Owners phone number ____________________Spec. type ______

Vehicle maker _______________Vehicle model ____________Year____

Engine type and HP _____________________

Serial no. or unique VIN ____________________

Vehicle Registration $25.00

Mail the data and check payable to:

231 SW Bonanza Glen
Lake City, FL 32025



*pfw= powered fixed wing, *ppw= powered para wing,
*ppg= powered para glider foot launch *prw= powered rotor wing
*pws= powered weight shift *pla= powered lighter than air (balloons, dirigibles)

Vehicle registration applies for ultralight vehicles and is mandatory for exempt vehicles used for training purposes.