Choose Life of Missouri, Inc.

New/Renewal Registration: *

NOTICE: select renewal if this is for a vehicle that already has Choose Life license plates.

New Clergy Program: Order a free Emblem Use Authorization (EUA) for a member of the clergy. We will send the EUA to you and you can present it to your pastor or priest as an encouragement to them. Enter their name and congregation here and we will produce a One-Car, Two-Year registration.

Clergy Member:

Congregation:

Donor Details

First Name: *

Preferred Name: *

Middle Initial:

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

How can we get in touch with you?

Landline: *

Mobile Phone: *

Fax Number:

E-mail: *

A receipt will be e-mailed to this address.

E-mail Verification: *

Please enter e-mail address again for verification.

How did you hear about us? *

We would love to be friends with you on Facebook!

We use social media in a positive way to share important and uplifting life affirming news with our friends!

Our Mission is to encourage people to Choose Life, enable life-affirming people to encourage others to Choose Life, and to encourage and raise awareness of the foster and adoption process.

Do you follow Choose Life of Missouri on Facebook? *

Please follow Choose Life of Missouri on Facebook - 9,000 friends and counting!

Choose Life - Celebrate Life!

We would like to tell you or your son or daughter "Happy Birthday!" on the special day. Share with us some birthdays so we can send you best wishes from Choose Life of Missouri.

Name(s) and Birthdates:

Some Life-Affirming Missourians are getting Choose Life license plates for special vehicles such as classic cars, motorcycles and trucks. People approach a special vehicle to admire it, then notice the Choose Life plate and this creates an opportunity to share their Story for Life! What kind of vehicle are your Choose Life plates on? It's fun to show the variety of Choose Life vehicles around Missouri. Tell us about your vehicle!

Share About Your Classic or Special Vehicle:

Send us a picture of your vehicle to contact@ChooseLifeMissouri.org

Share Your Testimony Section: (optional)
We would like to share your testimony on our website. Why do you have the plate on your car? Is there some special meaning for you? Some parents are honoring their choice to adopt a child, while others are following through on their conviction. What is your reasoning? This may help others to take the important step of using their license plate in a meaningful way. Your name will not be shared, but your life-affirming story will be used to touch another Missouri family. View our testimony page at www.ChooseLifeMissouri.org/WeDid

Testimony:

Do you need a "Physicians Statement for Disabled License Plates/Placard (DOR Form 1776)?
If so, please mark "Yes" and we will send you the necessary form.

Physicians Statement:

Do you currently have personalized license plates?

Personalized License Plates:

If so, please indicate the letters here in order to have them transferred
onto your Choose Life license plate.

License office nearest to you? *