Fillable GOLF CART REGISTRATION FORM (City of Montgomery)

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GOLF CART REGISTRATION FORM (City of Montgomery)

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The GOLF CART REGISTRATION FORM (City of Montgomery) form is 1 page long and contains:

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  • 6 check-boxes
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Country of origin: US
File type: PDF

U.S.A. forms for City of Montgomery

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WWW.MONTGOMERYTEXAS.GOV
GOLF CART REGISTRATION FORM
F
ULL NAME: ______________________________________________________________________________________
ADDERSS: ________________________________________________________________________________________
CITY: _________________________________ STATE: ___________________ ZIP: __________________
PHONE NUMBER: _______________________________ CELL PHONE: ____________________________________
SOCIAL SECURITY NUMBER: _________________________________ DRIVERS LICENSE: ____________________
EMERGENCY CONTACT: _________________________________ CELL: ____________________________________
INSURANCE INFORMATION: CARRIER: ______________________________________________________________
POLICY NUMBER: ___________________________ EXP. DATE: _______________
APPLICANT INFORMATION
HEAD LIGHTS PARKING BRAKE SLOW MOVING VEHICLE PLACARD
TAIL LIGHTS MIRRORS REFLECTORS
MAKE_______________________________ MODEL_______________________________________________
COLOR_____________________________ VIN#_________________________________________________
STORAGE LOCATION_____________________ SIGNATURE__________________________________________
APPLICATION FEE $25.00
RECEIPT #__
____________________________
OFFICER SIGNATURE______________________________________ BADGE #_____________________
DATE____________________________________
REVISED 06/26/2019
The City of Montgomery
101 Old Plantersville Road
Montgomery, Texas 77316
permits@ci.montgomery.tx.us
DATE: _________________________ STICKER NUMBER: _________________
APPLICANT INFORMATION
MANDATORY REQUIREMENTS
GOLF CART INFORMATION
FOR CITY USE ONLY
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GOLF CART REGISTRATION FORM (City of Montgomery)

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Completed 14 July 2020

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