License Plate Request: MEMBERS ONLY

To order a Leadership Maryland license plate, please submit the form below. Our staff will mail a packet to you to complete and return to the Leadership Maryland office.

Please note: The car that will display this license plate must be registered to the member, not his/her company.

Subject	License Plate Request
Member Name:
E-mail:
Street Address:
City:
State:
Zip Code:
Notes: