MV-82PFR (5/17)
PERMANENT FLEET REGISTRATION APPLICATION
INSTRUCTIONS:
1. Print or type information on this application.
2. Complete one application for each account.
3. If more space is needed, use an additional copy of this form.
Company Name (Account Name)
To Appear on Registration
Address
City
State
County
Zip Code
Mailing Address for Documents/Stickers (if different from above)
City
State
Zip Code
Contact Person (PFR Program)
Title or Job Position
Phone (Include Area Code)
Fax
(
)
(
)
E-Mail
Address
Contact Person (to resolve printout discrepancies)
Title or Job Position
Phone (Include Area Code)
Fax
(
)
(
)
E-Mail
Address
Total Number of Vehicles in Fleet
Approximate Number of Vehicles to be Entered in PFR Program
Please print or type each company name under which your fleet vehicles are currently registered. Look at each registration and each time the
company name is different, print or type the name exactly as it is printed on the registration. Also, provide the zip code printed on the
registration for each variation of the company name that you enter below.
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
MV-82PFR (5/17)
PERMANENT FLEET REGISTRATION APPLICATION
INSTRUCTIONS:
1. Print or type information on this application.
2. Complete one application for each account.
3. If more space is needed, use an additional copy of this form.
Company Name (Account Name)
To Appear on Registration
Address
City
State
County
Zip Code
Mailing Address for Documents/Stickers (if different from above)
City
State
Zip Code
Contact Person (PFR Program)
Title or Job Position
Phone (Include Area Code)
Fax
(
)
(
)
E-Mail
Address
Contact Person (to resolve printout discrepancies)
Title or Job Position
Phone (Include Area Code)
Fax
(
)
(
)
E-Mail
Address
Total Number of Vehicles in Fleet
Approximate Number of Vehicles to be Entered in PFR Program
Please print or type each company name under which your fleet vehicles are currently registered. Look at each registration and each time the
company name is different, print or type the name exactly as it is printed on the registration. Also, provide the zip code printed on the
registration for each variation of the company name that you enter below.
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
Name
Zip Code
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