Secretary of State
Illinois Sample License Plates
and Stickers Order Form
S
ecretary of State
Vehicle Services Department
Winchester Distribution Division
3701 Winchester Rd.
S
pringfield, IL 62707
217-782-5893
www.cyberdriveillinois.com
Samples are available for the license plates and stickers listed below for a fee of $4 each. Authority for public sales is granted by 625
ILCS 5/3-619. Sample plates and stickers are only available with a standard message (i.e., “IL 2001”) and for collection purposes only. It
is unlawful to affix them to any vehicle when operated on public roads (625 ILCS 5/3--703).
Shipping Information:
Name:
Address:
City, State, ZIP Country
Plate Type:
❏ Passenger Vehicle (2017) Quantity ______ x $4 each Total $ ________
❏ Passenger Vehicle (2001) Quantity ______ x $4 each Total $ ________
❏ Passenger Vehicle (1984) Quantity ______ x $4 each Total $ ________
❏ B-truck (2002) Quantity ______ x $4 each Total $ ________
❏ B-truck (1985) Quantity ______ x $4 each Total $ ________
❏ Motorcycle (2002) Quantity ______ x $4 each Total $ ________
❏ Motorcycle (1986) Quantity ______ x $4 each Total $ ________
Registration Stickers (list year(s) or type(s) desired), if available otherwise; we will substitute:
❏ Passenger Vehicle (most are “JAN.”) _________________________ Quantity ______ x $4 each Total $ ________
Years available: 2000-current, 1995-1999, 1990-1993, 1981-1988
❏ Motorcycle ____________________________________________ Quantity ______ x $4 each Total $ ________
Years available: 1997-2000, 1995, 1989-1993, 1987
❏ TA Trailer______________________________________________ Quantity ______ x $4 each Total $ ________
Years available: 1997-1999, 1995, 1991-1993, 1987-1989
❏ Recreational Trailer (RT) __________________________________ Quantity ______ x $4 each Total $ ________
Years available: 1997-2001, 1991-1993, 1987-1989
❏ Recreational Vehicle (RV) _________________________________ Quantity ______ x $4 each Total $ ________
Years available: 1997-2001, 1995, 1991-1993, 1987-1989
❏ Annual Commercial Vehicle _______________________________ Quantity ______ x $4 each Total $ ________
“CA” 2000, 2001
❏ 2-Year Commercial Vehicle _______________________________ Quantity ______ x $4 each Total $ ________
“CB” 2000, 2001
❏ 2001 Miscellaneous _____________________________________ Quantity ______ x $4 each Total $ ________
Specify: TF, MI, FI
❏ 2000 Miscellaneous _____________________________________ Quantity ______ x $4 each Total $ ________
Specify: TK, TF, MI, FI
❏ 1999 Miscellaneous _____________________________________ Quantity ______ x $4 each Total $ ________
Specify: AV, CN, D, MC, MD, PM, PT, TW, VF
❏ B-truck _______________________________________________ Quantity ______ x $4 each Total $ ________
Years available: 1986-1990
❏ IRP Apportioned Registration ______________________________ Quantity ______ x $4 each Total $ ________
Stickers (for “Waffle” plate)
♻ Printed on recycled paper. Printed by authority of the State of Illinois. March 2017— 750 — VSD 158.11
Mail completed order and check payable to Secretary of
State to the address at the left.
Samples will be mailed First Class within 48 hours of
receipt.
