To Request
an Angel Flight Mission,
Click Here
or call
1-877-4 AN ANGEL
or
770-452-7958.

13 in. Angel
Flight Aviator
Bear - $20

All proceeds support Angel Flight. Shop online now.

Angel Flight License Plate Application

General Information - The yellow boxes indicate information required to process your registration.

Applicant's Full Legal Name
Applicant's Address:
City:
State:
Zip Code:
Day Phone:	555-555-5555
County of Residence:
Applicants Driver's License Number
Listed below is the Organization from which a Commemorative license plate is requested.
Angel Flight of Georgia, Inc. 2000 Airport Road, Suite 227 Atlanta, GA 30341 (770) 452-7958
Credit Card Information
Name on Credit Card:
Credit Card Type:
Account Number:	CVV:
Expiration Date:	/
Amount:
Billing Address (if different from above):
Name:
Address:
City:
State:
Zip Code:
I request that a Special License Plate for the Organization/Institution/Association/Group noted above be issued. I understand that a refund will not be made if I subsequently decide I do not want this special tag. I also understand that there is an additional annual registration fee (in addition to the license plate fee, the maufacturing fee, ad valorem tax or any penalties, which may be due.) I understand that this organization is not acting as an agent of the State. Payment of the manufacturing fee to the organization does not constitute payment to the State. Until 1,000 license plates are requested and the applications and appropriate manufacturing fees are sent to the State by this Organization, no license plate commemorating this Organization will be manufactured.

Check here to affirm this statement.