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Potter County License Plate Request

Enter Your Information Below to recieve an application for a Potter County Visitors Association License Plate. 

This plate is an offical PennDot License plate and will replace your current registered plate. 

All applications must be returned to the Potter County Visitors Association.  Do Not Mail Directly to PennDot.

*Note - You only have to click submit one time, the page will automatically refresh to a blank form.
All Red Fields are Required
Contact Information
First Name:  
Last Name:  
Street Address:  
City:  
State:  
Zip Code:  
Phone Number:   (xxx) xxx-xxxx
Email::  
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I am a Potter County Resident:  
I am a Potter County Seasonal Property Owner:  
I am a Frequent Potter County Visitor.:  
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