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Supply Order Form
Department of Motor Vehicles
Agency of Transportation
Vermont Department of Motor Vehicles
120 State Street
Montpelier, Vermont 05603-0001
802.828.2000
dmv.vermont.gov
VG-017b 05/2017 MTC
For use by Dealers, Town Clerks etc.
Name: Date:
Street: Phone #:
City: State: Zip Code:
Dealer Number: Email Address:
Form #
Description of Item
Quantity
NOTE: Form number, description and quantity MUST be supplied in order to ensure order will be filled.
DMV STOCKROOM
P: 802.828.2090
F: 802.82833723
E: DMV.Stockroom@Vermont.gov
DMV DEALER DIVISION
P: 802.828.2038
F: 802.828.2092
E: DMV-DealersInspections@vermont.gov
FOR ALL ORDERS, PLEASE CHECK ONE OF THE FOLLOWING:
Will pick up on (date): ________________
Please mail
Metal Plates MUST be picked up, allow 4 business days lead time