IN State F.O.P. License Plates

Please fill out this form with the name of the member and as it appears on the vehicle registration. When you submit this form, we will process it and then mail the hard copy with seal, by U.S. Mail, to you. Plates are $30 each. You will be able to preview and confirm your information on the next page.
Your transaction is being submitted via encrypted transaction (SSL) for your protection.

ENTER YOUR MEMBER INFORMATION
First Name: *
Last Name: *
Lodge Number: *
Address: *
City: *
State: *
Postal Code: *
County: *
Phone Number: *
Email Address: *
(Enter a valid email address to receive a receipt of your payment)
PAYMENT DETAILS
Number of New Plates Needed:
Select Card Type: *
Enter Card Number: *
(NO dashes or spaces)
Enter Card Code: *
(3-4 digit card verification number on back of card)
Enter Card Expiration Date: *
Click the Preview button once to continue. You will be able to confirm your order on the next page. You order is being submitted via encrypted transaction (SSL) for your protection.
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Today's Date: {ts '2024-12-21 08:57:30'}