New Jersey
"Choose Life License Plate"
Application Form Request
 
 
The NJ "Choose Life" License Plate is an organizational license plate that cannot be ordered directly from the NJ MVC; it must first be ordered directly through the sponsoring organization.
 
Kindly complete and submit the following Application Form and an official New Jerset Choose Life License Plate Application Packet
will be sent to you in the mail with a complete set of directions.
 
 
Please complete ALL possible fields in the form below:

First Name
Last Name
eMail*
Address
City
State
Zip code
Home Phone
Cell Phone
You have the option of naming ONE pregnancy center or maternity home you wish to support; or write "all" if you wish to support all of them.
How many cars are you applying for?
Did you hear about the plate from another organization? If so, which one?