Application Download & Submission Instructions - PLEASE DO NOT FORWARD APPLICATION TO ANYONE

Thank you for your payment! Please download the application below and complete the following steps to finish your order:

Download: Click here to download your PennDOT Application (MV-904SP).
Fill Out: Complete all required sections on the form.
Include: your PCA Membership Number and Region after your signature in section E
Payment: Prepare a check payable to PennDOT for:
- $34 for a standard PCA plate, OR
- $170 for a personalized PCA plate
Mail: Send both your completed application and check to:

Bureau of Motor Vehicles

Attn: Michael Frank

P.O. Box 68266

Harrisburg, PA 17106-8266