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Get LA Escort Vehicle Permit

Out of state $10.00 per vehicle No fee for in state Please enclose a check, money order, credit card information below or DOTD charge account number Issued to Customer Number: EFFECTIVE DATE FOR PERMIT: Paid by Customer Number: Company Name: ___________________________ Address: _______________________________ State: ___ Zip: ______ City: _____________ Phone: _______________________ Fax Number: Vehicle Owner: ___________________________ Address: _______________________________ State: ___ Zip:.

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