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Get Conservation Plate Gift Certificate Application

On Plate Gift Certificate Application Information needed on the person purchasing the gift certificate: Name: Telephone Number: Date of Birth or License Number: Address: Street/P.O. Box Zip Code Town/City Information needed on the person the gift certificate is purchased for: Name of Recipient: Last First MI Date of Birth or License Number: Address: Street/P.O. Box Town/City Zip Code $ Amount being credited: Please make checks payable to State of NH MV FOR OFFICIAL USE.

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